DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. JOSEPH WYNN SULLIVAN D.O.

MEDICARE: DR. JOSEPH WYNN SULLIVAN D.O.
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
1207RX0202XMedical Oncology PhysicianOS5691FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982691689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH WYNN SULLIVAN D.O.
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 600 ZEAGLER DR
Second Line :
City : PALATKA
State : FL
Zip : 32177-3811
Country : US
Telephone Number : 386-325-8140
Fax Number : 386-325-8848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2005
Last Update Date : 06/17/2026

Similar Medicare Providers

1801873682 — CULPEPPER HARRELL, INC
Practice Location Address:
610 ZEAGLER DR
PALATKA, FL
32177-3811
Practice Phone: 386-325-2096
Practice Fax: 386-312-0466
1740246974 — ANAND MATHAI KURUVILLA M.D.
Practice Location Address:
600 ZEAGLER DR , SUITE 2
PALATKA, FL
32177-3811
Practice Phone: 386-325-8140
Practice Fax: 904-350-0032
1518986926 — INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Practice Location Address:
600 ZEAGLER DR , SUITE 2
PALATKA, FL
32177-3811
Practice Phone: 386-325-8140
Practice Fax: 904-350-0032
1518004316 — CULPEPPER HARRELL, INC
Practice Location Address:
610 ZEAGLER DR
PALATKA, FL
32177-3811
Practice Phone: 386-325-2096
Practice Fax: 386-312-0466
1407062797 — DAVID GREGORY HARRELL R.PH.
Practice Location Address:
610 ZEAGLER DR
PALATKA, FL
32177-3811
Practice Phone: 386-328-4652
Practice Fax: 386-312-0466
1750753935 — ANGELS PHARMACY II LLC
Practice Location Address:
610 ZEAGLER DR
PALATKA, FL
32177-3811
Practice Phone: 407-426-7000
Practice Fax: 888-855-1807

Directions to “ DR. JOSEPH WYNN SULLIVAN D.O.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.