MEDICARE: CULLINAN INVESTMENTS LLC

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
1	3336S0011X	Specialty Pharmacy
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1902789084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULLINAN INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	5600 MARINER ST STE 220
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3417
Country	:	US
Telephone Number	:	888-904-4111
Fax Number	:	888-904-7111

Provider Business Practice Location Address
First Line	:	5600 MARINER ST STE 220
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3417
Country	:	US
Telephone Number	:	888-792-5273
Fax Number	:	727-565-2272

Authorized Official
Title or Position	:	OWNER
Name	:	MITAL PANARA
Credential	:
Telephone Number	:	813-897-5303

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	10/02/2025

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