Individual
ELIZABETH MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 407-7700
Mailing address
623 N BLANDENA ST, PORTLAND, OR 97217-2618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME116553
FL
Other
Enumeration date
06/12/2007
Last updated
06/30/2017
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