Individual
GREGORY CUCULINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S PENINSULA DR, DAYTONA BEACH, FL 32118-4422
(386) 310-2160
(386) 310-2106
Mailing address
222 S PENINSULA DR, DAYTONA BEACH, FL 32118-4422
(386) 310-2160
(386) 310-2106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD067278L
PA
207P00000X
Emergency Medicine Physician
Primary
ME131250
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001754621
—
PA
Enumeration date
05/28/2006
Last updated
01/22/2025
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