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Individual

DR. GARY S MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3771 SAN JOSE PL STE 26, JACKSONVILLE, FL 32257-2439
(904) 262-7087
(904) 262-7215
Mailing address
3771 SAN JOSE PL STE 26, JACKSONVILLE, FL 32257-2439
(904) 262-7087
(904) 262-7215

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1996
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040679100
FL
01
480030592
RAILROAD MEDICARE
FL
01
59-3516897
TAX ID
FL
Enumeration date
01/24/2006
Last updated
03/10/2026
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