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1952079915
MATTHEW SULLIVAN
JACKSONVILLE, FL
NPI
1952079915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-09-02
Last Update Date
2021-12-10
Business Address
MATTHEW SULLIVAN PA
9765 SAN JOSE BLVD STE 102
JACKSONVILLE, FL 32257-5467
Phone number: 904-260-5757
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Mailing Address
MATTHEW SULLIVAN PA
3748 BOWDEN RD S
JACKSONVILLE, FL 32216-6223
Phone number: 904-300-8044
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