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OIG exclusion detail

NIBILA SULLIVAN

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
NIBILA ZKIRA SULLIVAN
Address
1880 7TH ST, NE, WINTER HAVEN, FL, 33881
Specialty
THERAPIST
Exclusion type
1128a3
Exclusion date
20201119
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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