Individual
DAVID J MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 332-6937
Mailing address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 332-6937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591287693
—
FL
Enumeration date
07/15/2013
Last updated
07/15/2013
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