Individual
DAVID A MACKOUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
ME67400
FL
208000000X
Pediatrics Physician
Primary
ME67400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258711400
—
FL
05
—
258711402
—
FL
05
—
377086900
—
FL
Enumeration date
10/19/2005
Last updated
11/08/2010
Update your record
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