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Active NPI 1053733253 Individual Practitioner Male Practitioner

David Sullivan

Contractor - Home Modifications • Perry, FL

Professional Overview & Biography Verified Profile Summary

David Sullivan is a registered healthcare professional specializing in Contractor - Home Modifications in Perry, FL. Practice services are available at 2823 GLOVER CARLTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2823 Glover Carlton Rd

Perry, FL 323487640

Telephone 8505844775
Fax 8505844735

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor - Home Modifications in Perry, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Perry, FL (62 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor - Home Modifications Primary Specialty

NUCC Taxonomy Code: 171WH0202X

State License FL JB2110

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
690734200 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2014

Registered at 2823 GLOVER CARLTON RD, PERRY, FL 323487640 (Tel: 8505844775)

📍
Updated Business Mailing Address January 09, 2014

Registered at 2823 GLOVER CARLTON RD, PERRY, FL 323487640 (Tel: 8505844775)

👤
Provider Name / Credentials Updated January 09, 2014

Recorded as DAVID SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2014

Contractor (License #JB2110 in FL)

🟢
Initial NPI Registration & Enumeration January 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053733253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2014
Last Update: January 09, 2014
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2823 Glover Carlton Rd

Perry, FL 323487640

Phone: 8505844775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.