# JOHN M MCKINNEY JR PA

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

## Provider details

- **NPI number:** 1144768276
- **Authorized official:** JOHN M MCKINNEY MD (PRESIDENT)
- **Authorized official phone:** (321) 698-0258

## Contact information

- **Practice address:** 3417 TAMIAMI TRL, SUITE G, PORT CHARLOTTE, FL 33952-8158
- **Practice address phone:** (941) 235-7246
- **Practice address fax:** (941) 235-2222
- **Mailing address:** 3417 TAMIAMI TRL, SUITE G, PORT CHARLOTTE, FL 33952-8158
- **Mailing address phone:** (941) 235-7246
- **Mailing address fax:** (941) 235-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME66933 | FL | Yes |

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 02/09/2017