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1962754531
EDWARD F MCCULLOUGH
ST PETERSBURG, FL
NPI
1962754531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9266748)
Enumeration Date
2012-10-08
Last Update Date
2016-08-16
Business Address
-- EDWARD F MCCULLOUGH ARNP
2852 66TH ST N
ST PETERSBURG, FL 33710-3127
Phone number: 727-564-1441
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Mailing Address
-- EDWARD F MCCULLOUGH ARNP
PO BOX 47247
ST PETERSBURG, FL 33743-7247
Phone number: 727-564-1441
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