Susan D Mccullum
M.D. | Pediatrics | Female
Susan D Mccullum, M.D. is a Fort Myers, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Susan D Mccullum is
2232 Grand Ave, Fort Myers, Florida - 33901-3717. She can be contacted on phone at
239-344-2341 and fax number 239-334-7518.
Susan D Mccullum is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan D Mccullum is
1578554291 which was assigned by NPPES on 02 Nov, 2005 and it was last updated on 30 Apr, 2010.
Susan D Mccullum license number is
ME86366 for Pediatrics (208000000X) in Florida.
Susan D Mccullum is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Susan D Mccullum basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Susan D Mccullum |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Susan D Mccullum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2232 Grand Ave
Fort Myers, FL, 33901-3717
United States |
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| Phone Number : | 239-344-2341 |
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| Fax Number : | 239-334-7518 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1578554291 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Nov, 2005 |
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| Last Updated On : | 30 Apr, 2010 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan D Mccullum are as mentioned. Primary taxonomy code for Susan D Mccullum, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME86366 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Susan D Mccullum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7768378 | Other | FL | AETNA |
| 265855100 | MEDICAID | FL | |
| 1483313 | Other | FL | UNITED |
| 62808 | Other | FL | BLUE CROSS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1357
Fort Myers, FL, 33902-1357
United States |
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| Phone Number : | 239-278-3600 |
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| Fax Number : | 239-278-3857 |
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Business Location:
Patients can refer following map for directions to
Susan D Mccullum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.