Provider Demographics
NPI:1770739203
Name:SEAN ARVINDH SUKAL, M.D., PH.D., P.A.
Entity type:Organization
Organization Name:SEAN ARVINDH SUKAL, M.D., PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:ARVINDH
Authorized Official - Last Name:SUKAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:561-241-8027
Mailing Address - Street 1:2900 NORTH MILITARY TRAIL
Mailing Address - Street 2:SUITE 243
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431
Mailing Address - Country:US
Mailing Address - Phone:561-245-8877
Mailing Address - Fax:561-322-3920
Practice Address - Street 1:2900 NORTH MILITARY TRAIL
Practice Address - Street 2:SUITE 243
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-245-8877
Practice Address - Fax:561-322-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-15
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98259207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty