Provider Demographics
NPI:1518295047
Name:ACCESSMD PLUS, INC.
Entity Type:Organization
Organization Name:ACCESSMD PLUS, INC.
Other - Org Name:DR. KATHLEEN CULLEN
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR, PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-666-7838
Mailing Address - Street 1:7341 SPRING HILL DRIVE #3685
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34611-3685
Mailing Address - Country:US
Mailing Address - Phone:813-666-7838
Mailing Address - Fax:866-688-7311
Practice Address - Street 1:7341 SPRING HILL DR UNIT 3685
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34611-9628
Practice Address - Country:US
Practice Address - Phone:800-208-3348
Practice Address - Fax:800-208-3349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-20
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL164W00000X, 251K00000X
174400000X, 174H00000X, 291U00000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Multi-Specialty