Individual
DR. JACK C MCGEACHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 627-5931
(813) 254-6440
Mailing address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 627-5931
(813) 254-6440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME133076
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME133076
FL
Other
Enumeration date
04/08/2015
Last updated
03/02/2023
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