Individual
CRAIG A MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 TAMIAMI TRL S, SUITE 101, VENICE, FL 34285-2402
(941) 488-7716
(941) 488-0511
Mailing address
333 TAMIAMI TRL S, SUITE 101, VENICE, FL 34285-2402
(941) 488-7716
(941) 488-0511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME59666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055156200
—
FL
01
—
11954
BCBS
FL
Enumeration date
08/13/2006
Last updated
05/22/2014
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