Provider Demographics
NPI:1033181490
Name:O'SULLIVAN, SHAUNA FRANCES (DO)
Entity Type:Individual
Prefix:DR
First Name:SHAUNA
Middle Name:FRANCES
Last Name:O'SULLIVAN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:NAS JACKSONVILLE
Mailing Address - Street 2:BUILDING 554
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32212
Mailing Address - Country:US
Mailing Address - Phone:757-953-7550
Mailing Address - Fax:757-953-0090
Practice Address - Street 1:3400 BOB WILSON DR
Practice Address - Street 2:NMCSD SUITE 300
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-3300
Practice Address - Country:US
Practice Address - Phone:619-532-5200
Practice Address - Fax:619-532-7508
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-01
Last Update Date:2016-10-20
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Provider Licenses
StateLicense IDTaxonomies
IN02002814A207RR0500X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine