Mccaulie Primary Care P A in Ponte Vedra Beach - Family Medicine
Mccaulie Primary Care P A - NPI 1417083171
Mccaulie Primary Care P A is a Family Medicine in Ponte Vedra Beach, Florida. Mccaulie Primary Care P A practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mccaulie Primary Care P A is 1417083171. The last update date is 2011-04-05.
Mccaulie Primary Care P A's current location address is 520 A1a N, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9042805700 and fax number 9042805703. The mailing address for Mccaulie Primary Care P A is 520 A1a N, Ponte Vedra Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mccaulie Primary Care P A |
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Address | 520 A1a N, Ponte Vedra Beach, Florida |
Phone Number | 9042805700 |
Fax Number | 9042805703 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Mccaulie Robert John |
Credentials | MD |
Telephone Number | 9042805700 |
NPI Number Detail
NPI Number | 1417083171 |
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Provider Enumeration Date | 2007-02-26 |
Last Updated Date | 2011-04-05 |
Provider Mailing Address Detail
Address | 520 A1a N |
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City | Ponte Vedra Beach |
State | Florida (FL) |
Post Code | 320825212 |
Phone Number | 9042805700 |
Fax Number | 9042805703 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | ME 000054470 |
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 |
---|---|---|---|
378911000 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mccaulie Primary Care P A by the Centers for Medicare & Medicaid Services (CMS)?
The Mccaulie Primary Care P A has been assigned the NPI (National Provider Identifier) 1417083171. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Mccaulie Primary Care P A's facilities are geographically located?
The facilities of Mccaulie Primary Care P A are physically situated at the following location: 520 A1A N, Ponte Vedra Beach, FL, 320825212.
What is Mccaulie Primary Care P A's area of expertise and its corresponding taxonomy classification?
The Mccaulie Primary Care P A's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1417083171 assigned to Mccaulie Primary Care P A?
The Mccaulie Primary Care P A was issued its 1417083171 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Mccaulie Primary Care P A's details last updated?
The information pertaining to the Mccaulie Primary Care P A, including its address, specialty, and other details, was most recently updated on 2011-04-05.