Gregory F Macisaac in Palm Coast - Family Medicine

Gregory F Macisaac - NPI 1104895473

Gregory F Macisaac is a Family Medicine in Palm Coast, Florida. Gregory F Macisaac practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory F Macisaac is 1104895473. The last update date is 2015-02-12.

Gregory F Macisaac's current location address is 120 Cypress Edge Dr, Palm Coast, Florida. You can contact this provider via phone number 3864454750 and fax number 3864454751. The mailing address for Gregory F Macisaac is 120 Cypress Edge Dr, Palm Coast, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory F Macisaac
Address 120 Cypress Edge Dr, Palm Coast, Florida
Phone Number 3864454750
Fax Number 3864454751
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104895473
Provider Enumeration Date 2006-03-17
Last Updated Date 2015-02-12

Provider Mailing Address Detail

Address 120 Cypress Edge Dr
City Palm Coast
State Florida (FL)
Post Code 321648453
Phone Number 3864454750
Fax Number 3864454751

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 101057756
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ME119474 FL FL MEDICAL LICENSE
5620589 VA --
218728 VA ANTHEM

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FAQs about Gregory F Macisaac

What is the unique 10-digit identification code issued to Gregory F Macisaac by the Centers for Medicare & Medicaid Services?

The Gregory F Macisaac has been assigned the NPI (National Provider Identifier) 1104895473 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Gregory F Macisaac located?

The Gregory F Macisaac is located at 120 Cypress Edge Dr, Palm Coast, FL 321648453.

What is the Gregory F Macisaac's area of specialization and corresponding taxonomy classification?

The Gregory F Macisaac's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1104895473 to Gregory F Macisaac?

The Centers for Medicare & Medicaid Services assigned the 1104895473 to Gregory F Macisaac on 2006-03-17.

As of what date was the information regarding Gregory F Macisaac, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gregory F Macisaac, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-02-12.

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