Organization
MCCULLOUGH CONTRACTORS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L MCCULLOUGH JR. (MANAGING MEMBER)
(813) 963-5104
Entity
Organization
Contact information
Practice address
15905 N FLORIDA AVE, LUTZ, FL 33549-8109
(813) 963-5104
Mailing address
2702 COASTAL RANGE WAY, LUTZ, FL 33559-7346
(813) 963-5104
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up