Theodore I Macey Md Pa

LBN: Theodore I Macey Md Pa
Theodore I Macey Md Pa is an health care organization with primary practice located at 1034 Mar Walt Dr Ste 100 , Fort Walton Beach FL 32547-6645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Theodore I Macey Md Pa can be contacted via phone (850) 863-2153, or through Macey, Theodore I via phone (850) 863-2153.

Contact Information

Primary practice address
1034 Mar Walt Dr Ste 100 Fort Walton Beach FL 32547-6645
Phone: (850) 863-2153
Fax: (850) 315-9350
Website:
Map and Directions
Authorized official contact:
Name: Macey, Theodore I MD PA
Phone: (850) 863-2153

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME44008 Florida

Profile Details

NPI number 1174665830
LBN Legal business name Theodore I Macey Md Pa
DBA Doing business as
Authorized official Macey, Theodore I MD PA
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Apr 28th, 2008 - about 17 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 1174665830 NPPES
Florida Other 200030432 RR MEDICARE
Florida Other 01449 RR MEDICARE
Florida Other DC6653 RR MEDICARE
Florida MEDICAID 041896000 RR MEDICARE

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