Mccullar, Mitchell Keith
Mccullar, Mitchell Keith is an individual health care provider with primary practice located at 103 Longwood Ave , Rockledge FL 32955-2827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Mccullar, Mitchell Keith can be contacted via phone (321) 631-5677.Contact Information
Primary practice address
103 Longwood Ave
Rockledge FL 32955-2827
Phone: (321) 631-5677
Fax: (321) 632-7225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME57720 | Florida |
Profile Details
| NPI number | 1720023815 |
|---|---|
| LBN Legal business name | Mccullar, Mitchell Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Apr 15th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720023815 | NPPES |
| Florida | MEDICAID | 064831100 |
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