Mackoul Pediatrics

LBN: David A Mackoul, M.D., P.A.
Mackoul Pediatrics is an health care organization with primary practice located at 206 Se 16Th Pl , Cape Coral FL 33990-1329. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. David A Mackoul, M.D., P.A. can be contacted via phone (239) 829-1747, or through Mackoul, David via phone (239) 573-2001.

Contact Information

Primary practice address
206 Se 16Th Pl Cape Coral FL 33990-1329
Phone: (239) 829-1747
Fax: (239) 573-2006
Website:
Map and Directions
Authorized official contact:
Name: Mackoul, David Doctor of Medicine (MD)
Phone: (239) 573-2001

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1659389948
LBN Legal business name David A Mackoul, M.D., P.A.
DBA Doing business as Mackoul Pediatrics
Authorized official Mackoul, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2006
Last updated Nov 8th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659389948 NPPES
Florida MEDICAID 258711402
Florida MEDICAID 258711400

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