Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME0068451 | FL |
NPI | 1013960400 |
---|---|
Provider Name | Dr. Stephen C Culp |
First Address | Sarasota, FL 34233-1105 |
Second Address | Sarasota, FL 34233-1105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 26/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060060208 | RR MEDICARE (01) | |
27128 | BCBS (01) | |
378395200 | (05) | FL |
E86660 | (02) |