Mackay, Gregory Davis
Mackay, Gregory Davis is an individual health care provider with primary practice located at 3745 11Th Cir Suite 101, Vero Beach FL 32960-4837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mackay, Gregory Davis can be contacted via phone (772) 299-3211.Contact Information
Primary practice address
3745 11Th Cir Suite 101
Vero Beach FL 32960-4837
Phone: (772) 299-3211
Fax: (772) 299-3517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME 60347 | Florida |
Profile Details
| NPI number | 1346277613 |
|---|---|
| LBN Legal business name | Mackay, Gregory Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jan 22nd, 2018 - about 7 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 | 1346277613 | NPPES |
| Florida | Other | 12603 | BLUE CROSS |
| Florida | MEDICAID | O55359000 | BLUE CROSS |
| Florida | Other | 100015007 | BLUE CROSS |
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