Active NPI
Kathleen a Cullen MD PA
- Internal Medicine Physician
- Seminole, FL
National Provider Identifier
1770670655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME70549
- Legal business name
- KATHLEEN A CULLEN MD PA
- Practice address
- 10575 68TH Ave
Suite A1
Seminole, FL 33772-6035 - Phone
- (727) 392-8600
- Fax
- (727) 392-8686
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen A Cullen, MD
- Title
- Physician/Owner
- Phone
- (727) 392-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME70549 | FL | Primary |
Addresses
Primary practice location
10575 68TH Ave
Suite A1
Seminole, FL 33772-6035
Mailing address
10575 68TH Ave
Suite A1
Seminole, FL 33772-6035
Phone (727) 392-8600
National Provider Directory
National Provider DirectoryLocations
10575 68th Ave
Ste A1
Seminole, FL 33772
Phone (727) 392-8600
5000 Park St N
St Petersburg, FL 33709
Phone (727) 544-5446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1770670655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10575 68TH AVE",
"address_2": "SUITE A1",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337726035",
"telephone_number": "727-392-8600",
"fax_number": "727-392-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10575 68TH AVE",
"address_2": "SUITE A1",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337726035",
"telephone_number": "727-392-8600",
"fax_number": "727-392-8686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN A CULLEN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "CULLEN",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "727-392-8600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME70549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.