Mccullough, Mona Carol
Mccullough, Mona Carol is an individual health care provider with primary practice located at 6719 Gall Blvd Ste 208 , Zephyrhills FL 33542-2569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, which is considered as her primary health care specialty. Mccullough, Mona Carol can be contacted via phone (813) 782-7318.Contact Information
Primary practice address
6719 Gall Blvd Ste 208
Zephyrhills FL 33542-2569
Phone: (813) 782-7318
Fax: (813) 788-5067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | ME107055 | Florida |
Profile Details
| NPI number | 1437348422 |
|---|---|
| LBN Legal business name | Mccullough, Mona Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Oct 19th, 2021 - about 4 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 | 1437348422 | NPPES |
| Florida | MEDICAID | 100763900 |
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