| Daniel P Sullivan, MD | |
|
930 S Harbor City Blvd Ste 200, Melbourne, FL 32901-1964 | |
| (321) 674-9094 | |
| (321) 674-9289 |
| Full Name | Daniel P Sullivan |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 28 Years |
| Location | 930 S Harbor City Blvd Ste 200, Melbourne, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255317988 | NPI | - | NPPES |
| 13379X | Other | FL | FL MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | ME84610 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| Entity Name | Health First Physician Specialties Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336390020 PECOS PAC ID: 9537229646 Enrollment ID: O20081119000623 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel P Sullivan, MD 930 S Harbor City Blvd Ste 200, Melbourne, FL 32901-1964 Ph: (321) 674-9094 | Daniel P Sullivan, MD 930 S Harbor City Blvd Ste 200, Melbourne, FL 32901-1964 Ph: (321) 674-9094 |
Mr. Dean Richard Lindstrom Iii, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1314 Pine St, Melbourne, FL 32901 Phone: 321-802-6697 Fax: 321-802-3158 | |
James T Go, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935 Phone: 321-421-7555 Fax: 321-421-7553 | |
Timothy O'hare, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901 Phone: 321-676-2353 Fax: 321-951-9267 | |
Mr. James Peter Lacey, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-729-8079 Fax: 321-984-8483 | |
Steven Ho, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1344 S Apollo Blvd, Ste 301, Melbourne, FL 32901 Phone: 321-676-2353 Fax: 321-951-9267 | |
Gisela L Wagner, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr, Suite 1e, Melbourne, FL 32901 Phone: 321-312-3312 Fax: 321-984-8483 |