Theodore I Macey Md Pa in Fort Walton Beach - Sports Medicine
Theodore I Macey Md Pa - NPI 1174665830
Theodore I Macey Md Pa is a Sports Medicine in Fort Walton Beach, Florida. Theodore I Macey Md Pa practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Theodore I Macey Md Pa is 1174665830. The last update date is 2008-04-28.
Theodore I Macey Md Pa's current location address is 1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida. You can contact this provider via phone number 8508632153 and fax number 8503159350. The mailing address for Theodore I Macey Md Pa is 1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Theodore I Macey Md Pa |
|---|---|
| Address | 1034 Mar Walt Dr Ste 100, Fort Walton Beach, Florida |
| Phone Number | 8508632153 |
| Fax Number | 8503159350 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Macey I Theodore |
| Credentials | MD PA |
| Telephone Number | 8508632153 |
NPI Number Detail
| NPI Number | 1174665830 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 1034 Mar Walt Dr Ste 100 |
|---|---|
| City | Fort Walton Beach |
| State | Florida (FL) |
| Post Code | 325476645 |
| Phone Number | 8508632153 |
| Fax Number | 8503159350 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | ME44008 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200030432 | FL | RR MEDICARE | |
| 1449 | FL | BS PROVIDER NUMBER | |
| DC6653 | FL | RR MEDICARE GROUP | |
| 41896000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Theodore I Macey Md Pa by the Centers for Medicare & Medicaid Services?
The Theodore I Macey Md Pa has been assigned the NPI (National Provider Identifier) 1174665830 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Theodore I Macey Md Pa's facilities are geographically located?
The facilities of Theodore I Macey Md Pa are physically situated at the following location: 1034 Mar Walt Dr Ste 100, Fort Walton Beach, FL, 325476645.
What is the area of specialization for Theodore I Macey Md Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theodore I Macey Md Pa is Sports Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Xx0005X.
On what date did the Theodore I Macey Md Pa receive the assignment of its 1174665830 from the Centers for Medicare & Medicaid Services?
The Theodore I Macey Md Pa was issued its 1174665830 by the Centers for Medicare & Medicaid Services on 2007-02-12.
When was the Theodore I Macey Md Pa's information last updated?
The Theodore I Macey Md Pa's information was last updated on 2008-04-28.