Mackoul, David A

Mackoul, David A is an individual health care provider with primary practice located at 206 Se 16Th Pl , Cape Coral FL 33990. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mackoul, David A can be contacted via phone (239) 573-2001.

Contact Information

Primary practice address
206 Se 16Th Pl Cape Coral FL 33990
Phone: (239) 573-2001
Fax: (239) 573-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME67400 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME67400 Florida

Profile Details

NPI number 1871582056
LBN Legal business name Mackoul, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Nov 8th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871582056 NPPES
Florida MEDICAID 258711400
Florida MEDICAID 258711402
Florida MEDICAID 377086900

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