Individual
TIMOTHY ALAN CULLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 586-2022
Mailing address
52 LEAVER DR, PALM COAST, FL 32137-9749
(509) 216-2757
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01037584
IN
207L00000X
Anesthesiology Physician
Primary
154277
FL
207R00000X
Internal Medicine Physician
01037584
IN
207R00000X
Internal Medicine Physician
154277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01037584
INDIANA MEDICAL BOARD
IN
01
—
154277
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
06/13/2006
Last updated
02/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us