Healthcare Provider Details

I. General information

NPI: 1306734686
Provider Name (Legal Business Name): MORGAN CULLINAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2025
Last Update Date: 06/25/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 MCGREGOR BLVD APT 3300
FORT MYERS FL
33901-3477
US

IV. Provider business mailing address

2250 MCGREGOR BLVD APT 3300
FORT MYERS FL
33901-3477
US

V. Phone/Fax

Practice location:
  • Phone: 888-499-5672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: