Individual
MAGDALENE EDITH MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
655 WEST 8TH STREET, JACKSONVILLE, FL 32209-4870
(904) 244-0411
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-0411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024907
NY
363AM0700X
Medical Physician Assistant
Primary
9117453
FL
Other
Enumeration date
05/19/2020
Last updated
09/22/2025
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