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NPI Code Detail

MEDICARE: BRIGID M MCCULLOCH

MEDICARE: BRIGID M MCCULLOCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianOS22471FL

General Provider Information

NPI Number : 1346781374
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGID M MCCULLOCH
Provider Business Mailing Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-303-6413
Fax Number : 407-303-6414
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-303-6413
Fax Number : 407-303-6414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2017
Last Update Date : 05/07/2026

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Directions to “ BRIGID M MCCULLOCH ” Practice Location

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