| Dr Jonathan M Sullivan, DPM | |
|
11 Florida Park Dr N, Palm Coast, FL 32137-3866 | |
| (386) 445-4734 | |
| Not Available |
| Full Name | Dr Jonathan M Sullivan |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 15 Years |
| Location | 11 Florida Park Dr N, Palm Coast, 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 |
|---|---|---|---|
| 1528387958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 36003666 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upperline Healthcare Pc | 4385900653 | 135 |
| Pascarella Hoover Finkelstein And Wagner Dpm Pa | 9436235645 | 84 |
| Provider Name | Pascarella Hoover Finkelstein & Wagner Dpm Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740275635 PECOS PAC ID: 9436235645 Enrollment ID: O20081231000035 |
| Provider Name | Upperline Healthcare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20201109001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan M Sullivan, DPM 1890 Lpga Blvd Ste 230, Daytona Beach, FL 32117-7131 Ph: (386) 274-3336 | Dr Jonathan M Sullivan, DPM 11 Florida Park Dr N, Palm Coast, FL 32137-3866 Ph: (386) 445-4734 |
Dr. Brian Howard Abrams, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 129 Forrester Pl, Palm Coast, FL 32137 Phone: 386-447-9970 Fax: 386-446-9488 | |
Goldenfeet Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 4877 Palm Coast Pkwy Nw Unit 4, Palm Coast, FL 32137 Phone: 386-490-9990 Fax: 386-263-8768 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21 Hospital Dr Ste 170a, Palm Coast, FL 32164 Phone: 386-586-7373 Fax: 386-586-7346 | |
Upperline Healthcare, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11 Florida Park Dr N, Palm Coast, FL 32137 Phone: 386-445-4734 Fax: 386-445-8411 | |
Upperline Healthcare, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 21 Hospital Dr Ste 170a, Palm Coast, FL 32164 Phone: 386-673-2266 | |
Atlantic Podiatry Associates Dpm Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 11 Florida Park Dr N, Palm Coast, FL 32137 Phone: 386-445-4734 Fax: 386-445-8411 |