IndividualActive
David Sullivan
NPI 1053733253 · Home Modifications Contractor · Perry, FL
Provider details
- NPI number
- 1053733253
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- JB2110 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
2823 Glover Carlton Rd
Perry, FL 32348-7640
Phone: (850) 584-4775
Fax: (850) 584-4735
Approximate (ZIP-level) locationGet directions
Mailing address
2823 Glover Carlton Rd
Perry, FL 32348-7640
Registry dates
- Enumerated
- 2014-01-08
- Last updated
- 2014-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.