Harold Hayes Sullivan JR.
Gastroenterologist
700 Zeagler Dr Suite 8
Palatka
, Florida 32177-6806
Harold Hayes Sullivan JR.
Gastroenterologist
700 Zeagler Dr Suite 8
Palatka
, Florida 32177-6806
(386) 328-4244
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Harold Hayes Sullivan JR.
- 700 Zeagler Dr Suite 8
- Palatka, FL
- Zip : 32177-6806
- Fax : (386) 328-4244
- Phone : (386) 328-4242
Second Address
- Harold Hayes Sullivan JR.
- 700 Zeagler Dr Suite 8
- Palatka, FL
- Zip : 32177-6806
- Fax : (386) 328-4244
- Phone : (386) 328-4242
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | ME106620 | FL |
National Provider Identifier
| NPI | 1013987635 |
|---|---|
| Provider Name | Harold Hayes Sullivan JR. |
| First Address | Palatka, FL 32177-6806 |
| Second Address | Palatka, FL 32177-6806 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 05/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 004179900 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.