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GARY S MCCOY DPM PA NPI 1891978466


NPI Information

NPI: 1891978466
Provider Name: GARY S MCCOY DPM PA
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
9765 SAN JOSE BLVD
SUITE 104
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 262-7087
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GARY S MCCOY DPM PA is a durable medical equipment medical supplies in Jacksonville, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GARY S MCCOY DPM PA NPI is 1891978466. The provider is registered as an organization entity type.

The provider's business location address is:

9765 SAN JOSE BLVD
SUITE 104
JACKSONVILLE, FL
ZIP 32257-402
Phone: (904) 262-7087
Fax: (904) 262-7215

The provider's authorized official is Gary Steven Mccoy .
The authorized official title is President and has the following contact phone number (904) 262-7087.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 7/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesPO1996FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T96229MEDICARE UPINFLORIDA
2480030592OTHERFLORIDARAILROAD MEDICARE
3040679100MEDICAIDFLORIDA
44133400001MEDICARE NSCFLORIDA
565071MEDICARE PINFLORIDA
6=========OTHERFLORIDATAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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