MEDICARE: LIMITLESS OPTIONS, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1104304013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMITLESS OPTIONS, LLC.

Provider Business Mailing Address
First Line	:	201 N LAKEMONT AVE STE 2100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3208
Country	:	US
Telephone Number	:	402-681-4030
Fax Number	:	402-332-3960

Provider Business Practice Location Address
First Line	:	201 N LAKEMONT AVE STE 2100
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3208
Country	:	US
Telephone Number	:	402-681-4030
Fax Number	:	402-332-3960

Authorized Official
Title or Position	:	OWNER
Name	:	GABRIEL SULLIVAN
Credential	:
Telephone Number	:	402-681-4030

Provider Enumeration Date	:	08/02/2018
Last Update Date	:	08/02/2018

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Directions to “LIMITLESS OPTIONS, LLC. ” Practice Location

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