Healthcare Provider Details

I. General information

NPI: 1609519354
Provider Name (Legal Business Name): MARLLINY LUNDI DE JESUS FERREIRA SULLIVAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 36TH ST
VERO BEACH FL
32960-6574
US

IV. Provider business mailing address

6535 CAICOS CT
VERO BEACH FL
32967-7586
US

V. Phone/Fax

Practice location:
  • Phone: 772-567-6340
  • Fax: 772-567-3564
Mailing address:
  • Phone: 561-452-2983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME177640
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: