Male or Other

Gregory A. Sullivan M.D.

Psychiatry Physician in Tampa, FL(View on Map)

Full Name

Gregory Allen Sullivan M.D.

NPI Number

1679848980

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/20/2012

Specialties

(Taxonomies)

Code

2084P0800X
2084P0805X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME120043

Contact
Information

Purpose

Mailing
Location

Address

13000 BRUCE B DOWNS BLVD # 116A
13000 BRUCE B DOWNS BLVD

City

Tampa
Tampa

State

FL
FL

Postal Code

33612-4745
33612-4745

Country

US
US

Telephone Number

(813) 972-2000
(813) 972-2000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/11/2017

Provider Address

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