# EDWARD G MACKAY, MD AND ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043774003
- **Authorized official:** EDWARD G MACKAY MD (PARTNER)
- **Authorized official phone:** (727) 781-5652

## Contact information

- **Practice address:** 2863 ALTERNATE 19 NORTH, PALM HARBOR, FL 34683
- **Practice address phone:** (727) 781-5652
- **Practice address fax:** (727) 781-3792
- **Mailing address:** 2863 ALTERNATE 19 NORTH, PALM HARBOR, FL 34683
- **Mailing address phone:** (727) 781-5652
- **Mailing address fax:** (727) 781-3792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | — |
| 202K00000X | Phlebology Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2019
- **Last updated:** 01/24/2019