Tulio A Sulbaran, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME90847 Issued in FL

Practice address

305 N Mangoustine Ave
Suite 200
Sanford, FL 32771-1004

Phone

(407) 321-1415

Fax

(407) 321-1597

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Volusia Healthcare Corporation

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1346424165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1023077047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE",
            "address_2": "SUITE 200",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-321-1415",
            "fax_number": "407-321-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MANGOUSTINE AVE",
            "address_2": "SUITE 200",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711004",
            "telephone_number": "407-321-1415",
            "fax_number": "407-321-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULBARAN",
        "first_name": "TULIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271134600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50159",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "375047",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00382428",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Strobak, LCSW
• Yasleni Suarez Torres, RBT
• Substance Abuse Treatment of Seminole County
• Kinsey Drea Sucher
• Belina Sulanjaku, BCBA, RBT
• Carmen N Sullivan
• Michele Sullivan IV
• Susan Cherie Sult, PH. D.
• Elaine Summers, LMFT
• Summit Counseling

• Specialist in Sanford, FL
• Providers in Sanford, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.