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DAVID A MACKOUL M.D. P.A. NPI 1659389948


NPI Information

NPI: 1659389948
Provider Name: DAVID A MACKOUL, M.D., P.A.

Doing Business As: MACKOUL PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0955541

Address:
206 SE 16TH PL
CAPE CORAL, FL
ZIP 33990
Phone: (239) 829-1747
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DAVID A MACKOUL, M.D., P.A. is a pediatrics in Cape Coral, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DAVID A MACKOUL, M.D., P.A. NPI is 1659389948. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mackoul Pediatrics.

The provider's business location address is:

206 SE 16TH PL
CAPE CORAL, FL
ZIP 33990-329
Phone: (239) 829-1747
Fax: (239) 573-2006

The provider's authorized official is David Mackoul .
The authorized official title is President and has the following contact phone number (239) 573-2001.

The CLIA number assigned to this NPI record is 10D0955541 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 11/8/2010.


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
1208000000XPediatricsYes

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
1258711400MEDICAIDFLORIDA
2258711402MEDICAIDFLORIDA

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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