JONATHAN M SULLIVAN

PALM COAST, FL
NPI1528387958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: OH  36003666)
Enumeration Date2010-05-25
Last Update Date2021-03-31
Business Address
DR. JONATHAN M SULLIVAN D.P.M.
11 FLORIDA PARK DR N
PALM COAST, FL 32137-3866
Phone number: 386-445-4734
Mailing Address
DR. JONATHAN M SULLIVAN D.P.M.
1890 LPGA BLVD STE 230
DAYTONA BEACH, FL 32117-7131
Phone number: 386-274-3336