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

Michael L Sullivan, PA

Individual provider Surgical Physician Assistant · NPI 1740205863

Michael L Sullivan, PA is a Physician Assistant in Sarasota, Florida. Graduated from Wake Forest University School of Medicine in 1997, 29 years ago. Practices with Smh Physician Services Inc, a 774-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Trained at
Wake Forest University School of Medicine
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1540 S Tamiami Trl Ste 303
Sarasota, FL 34239-2930
Phone: (941) 917-8791
Fax: (941) 917-8793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA3485 (FL)

Record details

NPI number1740205863
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESApril 4, 2016
Mailing addressPo Box 863407, Orlando, FL 32886-3407

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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