# SUSAN CULVERHOUSE, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952825259
- **Authorized official:** SUSAN HOWARD CULVERHOUSE MD (MD / PRESIDENT)
- **Authorized official phone:** (813) 784-3746

## Contact information

- **Practice address:** 801 E 6TH ST STE 201, PANAMA CITY, FL 32401-3667
- **Practice address phone:** (850) 763-8680
- **Mailing address:** 707 E CERVANTES ST, SUITE B \#298, PENSACOLA, FL 32501
- **Mailing address phone:** (407) 272-4232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME106708 | FL | Yes |

## Other

- **Enumeration date:** 07/28/2017
- **Last updated:** 07/28/2017