| Marvin Randall Sullivan, PT | |
|
116 E Bloomingdale Ave, Brandon, FL 33511-8101 | |
| (813) 655-3342 | |
| (813) 653-0894 |
| Full Name | Marvin Randall Sullivan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 116 E Bloomingdale Ave, Brandon, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881700409 | NPI | - | NPPES |
| Y908V | Other | FL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0009849 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Randall Sullivan, PT 116 E Bloomingdale Ave, Brandon, FL 33511-8101 Ph: (813) 655-3342 | Marvin Randall Sullivan, PT 116 E Bloomingdale Ave, Brandon, FL 33511-8101 Ph: (813) 655-3342 |
Mr. Ronney Etienne, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-655-3342 Fax: 813-653-0894 | |
Jennifer Bishop, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1056 E Brandon Blvd, Brandon, FL 33511 Phone: 813-413-5513 Fax: 813-681-8300 | |
Tracy A Hennemann, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 E Bloomingdale Ave, Brandon, FL 33511 Phone: 891-365-5334 Fax: 813-653-0894 | |
Hillary Hixon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1076 E Brandon Blvd Ste 106, Brandon, FL 33511 Phone: 813-413-5513 | |
Mr. Randall Walter Grossglass, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 134 E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-681-1627 Fax: 813-684-1356 | |
Marc Boults, Physical Therapist Medicare: Medicare Enrolled Practice Location: 602 Vonderburg Dr, Suite 201, Brandon, FL 33511 Phone: 863-617-9400 Fax: 863-688-9858 | |
Deborah Raplee, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1056 E Brandon Blvd, Brandon, FL 33511 Phone: 813-413-5513 Fax: 813-681-8300 |