| NPI | 1932451507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD F MCCULLOUGH Pres 727-823-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9266748) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-31 |