Serelee Editha St Cyr Sullivan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME159637 Issued in FL

Practice address

8727 Temple Terrace Hwy
Temple Terrace, FL 33637-6700

Phone

(813) 796-5400

Fax

(813) 776-0079

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1891312401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 TEMPLE TERRACE HWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336376700",
            "telephone_number": "813-796-5400",
            "fax_number": "813-776-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 TEMPLE TERRACE HWY",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336376700",
            "telephone_number": "813-796-5400",
            "fax_number": "813-776-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST CYR SULLIVAN",
        "first_name": "SERELEE",
        "middle_name": "EDITHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME159637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialized Care Pediatrics Inc
• Allyson R Speed
• Donella Speights
• Emily Spinger, PA-C
• Marshall Spoto
• Stability Home Health LLC
• Stacey a Walker OD PA
• Bonnie Lee Stahl, LMT
• Taylor Stanley
• Stanimir Stantchev, M. D.

• Internal Medicine Physician in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.