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Organization

DAVID M MCKALIP MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MICHAEL MCKALIP MD (PRESIDENT)
(727) 822-3500
Entity
Organization

Contact information

Practice address
1955 1ST AVENUE NORTH, SUITE 101, SAINT PETERSBURG, FL 33713-8907
(727) 822-3500
(727) 822-3228
Mailing address
1955 1ST AVENUE NORTH, SUITE 101, SAINT PETERSBURG, FL 33713-8907
(727) 822-3500
(727) 822-3228

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME81052
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
217481
AMERIGROUP
FL
01
2490288
AETNA HMO
FL
05
259784500
FL
01
5790719
AETNA MANAGED CARE
FL
01
57962
BCBS
FL
01
7373130
CIGNA
FL
Enumeration date
11/16/2006
Last updated
03/24/2015
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