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

JACK OSULLIVAN, DO

Active

JACK OSULLIVAN, DO is a General Practice healthcare provider located in JACKSONVILLE, Florida. NPI 1649845264 is currently active in the NPPES registry. Verify at CMS.

General Practice · JACKSONVILLE, FL

Registration Details

NPI Number
1649845264
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2021 (5.1781196875594 yrs)
Last Updated
Sep 22, 2023
License
0102207445 (VA)

Practice Information

Address
2080 CHILD ST
JACKSONVILLE, FL, 322145005
Browse FL providers · Browse ZIP 32214
Phone
9025427300
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Additional Specialty
Military Health Care Provider

Other General Practice Providers in JACKSONVILLE, FL

Name Credential NPI
DR. ALEXA MILAGROS WU CHAVEZ MD 1457334757
DR. WILLIAM WESSON NIELDS M.D. 1972587848
LEONARD JOEL SPILLERT M.D. 1326007139
DR. LEIAH ANFINSON M.D. 1225097520
DR. MARK ANTHONY SMITH M.D. 1871558114
RALPH BADANOWSKI MD 1205894508
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.