Macisaac, Gregory F
Macisaac, Gregory F is an individual health care provider with primary practice located at 120 Cypress Edge Dr Suite 210, Palm Coast FL 32164-8453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Macisaac, Gregory F can be contacted via phone (386) 445-4750.Contact Information
Primary practice address
120 Cypress Edge Dr Suite 210
Palm Coast FL 32164-8453
Phone: (386) 445-4750
Fax: (386) 445-4751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101057756 | Virginia |
Profile Details
| NPI number | 1104895473 |
|---|---|
| LBN Legal business name | Macisaac, Gregory F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 12th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104895473 | NPPES |
| Florida | Other | ME119474 | FL MEDICAL LICENSE |
| Florida | MEDICAID | 005620589 | FL MEDICAL LICENSE |
| Florida | Other | 218728 | FL MEDICAL LICENSE |
Popular Providers
-
Galano-Lavin, Luis
56 Round Tree Dr , Palm Coast FL 32164-6928 -
Bollhofer, William J.
309 Palm Coast Pkwy Ne Suite 2, Palm Coast FL 32137-3886 -
Leventhal, Jerry
21 Hospital Drive Ste 280, Palm Coast FL 32164 -
Intihar, Dale
309 Palm Coast Pkwy Ne , Palm Coast FL 32137-3886 -
Jguenti, Milena
28 Old Kings Rd N Unit A , Palm Coast FL 32137-8291 -
Screnock, Jonathan D
120 Cypress Edge Dr Ste 204 , Palm Coast FL 32164-8454 -
Arguello, Martha
309 Palm Coast Pkwy Ne , Palm Coast FL 32137-3886 -
Bolla, John
61 Memorial Medical Pkwy Suite 3803, Palm Coast FL 32164-5981