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1710098173
BRENT C SULLIVAN
TAMPA, FL
NPI
1710098173
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME69655)
Enumeration Date
2006-08-31
Last Update Date
2021-08-27
Business Address
BRENT C SULLIVAN MD
14547 BRUCE B DOWNS BLVD SUITE D
TAMPA, FL 33613
Phone number: 813-979-7733
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Mailing Address
BRENT C SULLIVAN MD
38135 MARKET SQUARE
ZEPHYRHILLS, FL 33542
Phone number: 813-528-4975
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