Individual
EDWARD F MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2852 66TH ST N, ST PETERSBURG, FL 33710-3127
(727) 564-1441
Mailing address
PO BOX 47247, ST PETERSBURG, FL 33743-7247
(727) 564-1441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9266748
FL
Other
Enumeration date
10/08/2012
Last updated
08/16/2016
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