Phyllis Mccolister-Cunningham Pa

Specialty details in registry · Fort Pierce, FL

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At a glance

900 Virginia Ave Ste 7, Fort Pierce, FL 34982-5882

NPPES record updated Dec 5, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

900 Virginia Ave Ste 7
Fort Pierce, FL 34982-5882
Professional details: NPI, taxonomy & registry record
NPI1245766807
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
May 2, 2017
Record updated
Dec 5, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License reported: MH14456 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

900 Virginia Ave Ste 7
Fort Pierce, FL 34982-5882
Phone
(772) 448-4189
Fax
(772) 245-4259
Mailing address
900 VIRGINIA AVE STE 7

FORT PIERCE, FL 349825882
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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