Organization
LARRY L MACKALL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY L. MACKALL M.D. (OWNER/MANAGER)
(305) 296-0400
Entity
Organization
Contact information
Practice address
605 UNITED ST, SUITE B, KEY WEST, FL 33040-3229
(305) 296-0400
(305) 293-4683
Mailing address
605 UNITED ST, SUITE B, KEY WEST, FL 33040-3229
(305) 296-0400
(305) 293-4683
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME50055
FL
Other
Enumeration date
08/05/2008
Last updated
10/29/2008
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