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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOMINIQUE SULLIVAN

Active Sole Proprietor

DOMINIQUE SULLIVAN is a Athletic Trainer healthcare provider located in ORANGE CITY, Florida. NPI 1598239519 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ORANGE CITY, FL

Registration Details

NPI Number
1598239519
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2019 (7.5596663915022 yrs)
Last Updated
Jan 12, 2019
Sole Proprietor
Yes

Practice Information

Address
538 SWAN RANGE RD
ORANGE CITY, FL, 327636676
Browse FL providers · Browse ZIP 32763
Phone
3863153537
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ORANGE CITY, FL

Name Credential NPI
CLAUDIA BRANUM MS, ATC, LAT 1285957902
EMILY PASSARO ATC, LAT 1841798253
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.