Healthcare Provider Details

I. General information

NPI: 1740092907
Provider Name (Legal Business Name): THOMAS A CULPEPPER FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7860 SW 103RD STREET RD
OCALA FL
34476-8623
US

IV. Provider business mailing address

425 W COLONIAL DR STE 303
ORLANDO FL
32804-6863
US

V. Phone/Fax

Practice location:
  • Phone: 352-873-4458
  • Fax: 352-873-8116
Mailing address:
  • Phone: 352-528-5801
  • Fax: 352-528-6019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11036365
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: