Stephanie Sue Sullivan, LMT is a
Massage Therapist based in Palm Beach Gardens, Florida. Stephanie Sue Sullivan is licensed to practice in Florida (license number MA41123) and her current practice location is
5773 Golden Eagle Cir, Palm Beach Gardens, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 707-2135.
NPI number for Stephanie Sue Sullivan is 1619150158 and her current mailing address is 5773 Golden Eagle Cir, Palm Beach Gardens, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619150158.
Provider's Profile
Full Name | Stephanie Sue Sullivan |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 5773 Golden Eagle Cir, Palm Beach Gardens, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619150158
- Provider Enumeration Date: 12/06/2007
- Last Update Date: 12/06/2007
Medical Identifiers
Medical identifiers for Stephanie Sue Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619150158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | PN874041 (Florida) | Secondary |
225700000X | Massage Therapist | MA41123 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Sue Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Sue Sullivan, LMT 5773 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1518 Ph: (561) 707-2135 | Stephanie Sue Sullivan, LMT 5773 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1518 Ph: (561) 707-2135 |
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