Individual
JACK EDWARD MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
111116
GA
207X00000X
Orthopaedic Surgery Physician
Primary
ME139390
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14417668
CAQH
FL
01
—
53WFA
BCBS FL
FL
05
—
801769
—
FL
Enumeration date
04/07/2014
Last updated
06/17/2026
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