Individual provider · Type 1 NPI

Gerard Joseph McCoy

Other Specialist/Technologist · Port Orange, FL

NPI number 1396700563 Active

Practice location

604 Hamlet Dr
Port Orange, FL 32127-5986

Fax (386) 322-1935

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

About NPI 1396700563

Gerard Joseph McCoy's National Provider Identifier is 1396700563, issued on Apr 19, 2006. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Port Orange, FL. The record was last updated on Sep 21, 2007.