Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dominique Sullivan

Individual provider Athletic Trainer · NPI 1598239519

Dominique Sullivan is an Athletic Trainer in Orange City, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

538 Swan Range Rd
Orange City, FL 32763-6676
Phone: (386) 315-3537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1598239519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2019
Last updated in NPPESJanuary 12, 2019
Mailing address538 Swan Range Rd, Orange City, FL 32763-6676

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