Organization
SUSAN CULVERHOUSE, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HOWARD CULVERHOUSE MD (MD / PRESIDENT)
(813) 784-3746
Entity
Organization
Contact information
Practice address
801 E 6TH ST STE 201, PANAMA CITY, FL 32401-3667
(850) 763-8680
Mailing address
707 E CERVANTES ST, SUITE B #298, PENSACOLA, FL 32501
(407) 272-4232
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME106708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009329900
—
FL
Enumeration date
07/28/2017
Last updated
07/28/2017
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