John F Cullen MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0025362 Issued in FL

Legal business name

JOHN F CULLEN MD

Practice address

290 Clyde Morris Blvd
Ste D2
Ormond Beach, FL 32174-8130

Phone

(386) 676-2302

NPI assigned

Feb 4, 2008

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judy C Driscoll

Title

Office MGR.

Phone

(386) 676-2302

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1225216120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD",
            "address_2": "STE D2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748130",
            "telephone_number": "386-676-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CLYDE MORRIS BLVD",
            "address_2": "STE D2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748130",
            "telephone_number": "386-676-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F CULLEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "386-676-2302"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "MD0025362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Demercurio MD PA (Florida Center for Plastic and Cosmetic Surgery)
• Jeffrey T Newfield DO PA (Newfield Orthopedics)
• Kimberly Deanne Jensen, LCSW
• Jerrold Ecklind DO PA
• John B Turner MD PA
• John R. Chewning DO PA
• John Zak III PA Inc
• Chhaya Johnson, MA
• Donald Charles Johnson Jr., DPM
• Erica Lynn Johnson, PHARMD

• Family Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.