Organization
PROSTHETIC CENTER OF PASCO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL D MCCULLOUGH CP (PRESIDENT OWNER)
(727) 846-8124
Entity
Organization
Contact information
Practice address
5950 HIGH STREET, NEW PORT RICHEY, FL 34652-4149
(727) 846-8124
(727) 846-7109
Mailing address
5950 HIGH STREET, NEW PORT RICHEY, FL 34652-4149
(727) 846-8124
(727) 846-7109
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PRO6
FL
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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