Organization
MCCULLOUGH MEDICAL PA
Active
Organization
MCCULLOUGH MEDICAL PA
Active
Other names
Suncoast Urogynecology & Pelvic Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA MCCULLOUGH M.D. (PRESIDENT)
(727) 645-4541
Entity
Organization
Contact information
Practice address
1814 WELLNESS LN, NEW PORT RICHEY, FL 34655-5357
(727) 645-4541
Mailing address
1814 WELLNESS LN, NEW PORT RICHEY, FL 34655-5357
(727) 645-4541
Taxonomy
Speciality
Code
Description
License number
State
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
ME107055
FL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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