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NPI Code Detail

MEDICARE: DARBY SULLIVAN

MEDICARE: DARBY SULLIVAN
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
1235Z00000XSpeech-Language PathologistFL

General Provider Information

NPI Number : 1952885360
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARBY SULLIVAN
Provider Business Mailing Address
First Line : 1229 VIA DEL MAR
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 AVENUE O NE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-2409
Country : US
Telephone Number : 863-293-3103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2018
Last Update Date : 09/20/2018

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Directions to “ DARBY SULLIVAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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