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DAVID SULLIVAN
NPI 1053733253
Contractor - Home Modifications in Perry, FL

Active since January 08, 2014
2823 GLOVER CARLTON RD, PERRY, FL 32348(850) 584-4775(850) 584-4735 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID SULLIVAN (NPI 1053733253) is an individual home modifications provider in Perry, Florida, licensed in Florida (JB2110) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1053733253
Entity TypeIndividualMale
Primary Taxonomy171WH0202X
Provider Legal NameDAVID SULLIVAN
Location Address2823 GLOVER CARLTON RDPerry, FL 32348-7640
Mailing Address2823 Glover Carlton RdPerry, FL 32348-7640 · (850) 584-4775 · Fax (850) 584-4735
Phone(850) 584-4775
Fax(850) 584-4735
Sole ProprietorNo
Enumeration DateJanuary 8, 2014
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1053733253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
License✔ Licensed in FL · JB2110
Definition
A contractor who makes modifications to homes to accommodate a health condition.
2823 GLOVER CARLTON RD, Perry, FL 32348
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Other Identifiers 1

Medicaid690734200FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Sullivan's NPI number?

The NPI number for David Sullivan is 1053733253. It was assigned to this individual provider in the NPPES registry on January 8, 2014.

Where is David Sullivan located?

David Sullivan practices at 2823 Glover Carlton Rd, Perry, FL 32348. The listed phone number is (850) 584-4775.

What is David Sullivan's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for David Sullivan was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.