Mccaulie Primary Care P A

LBN: Mccaulie Primary Care P A
Mccaulie Primary Care P A is an health care organization with primary practice located at 520 A1A N Suite 201, Ponte Vedra Beach FL 32082-5212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mccaulie Primary Care P A can be contacted via phone (904) 280-5700, or through Mccaulie, John Robert via phone (904) 280-5700.

Contact Information

Primary practice address
520 A1A N Suite 201 Ponte Vedra Beach FL 32082-5212
Phone: (904) 280-5700
Fax: (904) 280-5703
Website:
Map and Directions
Authorized official contact:
Name: Mccaulie, John Robert Doctor of Medicine (MD)
Phone: (904) 280-5700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME 000054470 Florida

Profile Details

NPI number 1417083171
LBN Legal business name Mccaulie Primary Care P A
DBA Doing business as
Authorized official Mccaulie, John Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 5th, 2011 - about 15 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 1417083171 NPPES
Florida MEDICAID 378911000

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