Jack Osullivan, DO
Jack Osullivan, DO is a Family Practice in Jacksonville, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2021, 5 years ago. Practices with SE Virginia Value Based Care LLC, a 156-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 5
- Trained at
- Nova Southeastern College of Osteo Medicine
- Licensed in
- VA
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
Jacksonville, FLNo coordinates on file. Search this address in Google Maps
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 0102207445 (VA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Military Health Care Provider | Taxonomy 171000000X |
Record details
| NPI number | 1649845264 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | May 25, 2021 |
| Last updated in NPPES | September 22, 2023 |
| Certification date | September 22, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | Se Virginia Value Based Care Llc — 156 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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