Jessica Sullivan
Jessica Sullivan is a Developmental Disabilities Clinic/Center in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
4813 Bristol Bay Way Apt 302Tampa, FL 33619-3662
Phone: (813) 562-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X (FL) |
|---|
Record details
| NPI number | 1891421186 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2022 |
| Last updated in NPPES | July 28, 2022 |
| Certification date | July 28, 2022 |
| Mailing address | 4813 Bristol Bay Way Apt 302, Tampa, FL 33619-3662 |
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