Sullivan Sinus and Allergy, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SULLIVAN SINUS AND ALLERGY, LLC

Practice address

930 S Harbor City Blvd Ste 200
Melbourne, FL 32901-1964

Phone

(321) 674-9094

Fax

(321) 674-9289

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Patrick Sullivan, MD

Title

Owner/Manager

Phone

(321) 674-9094

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1154074466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OCEAN TER",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033417",
            "telephone_number": "321-674-9094",
            "fax_number": "321-674-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S HARBOR CITY BLVD STE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011964",
            "telephone_number": "321-674-9094",
            "fax_number": "321-674-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN SINUS AND ALLERGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "321-674-9094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Suarez
• Sud Facility Optimization, LLC
• Fernando Suico, PT
• Rebecca Suiters, PA-C
• Leonard Sukienik, D.O.
• Sullivan Speech-Language Pathology Services, LLC
• Patricia Ann Sullivan-Liebig, CRNA
• Daniel P Sullivan, MD
• Mark Ashley Sullivan, RN
• Andrew Sulser

• Otolaryngology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.