Individual provider · Type 1 NPI
Randall Louis McKissack, MD
Surgery Physician · Fort Walton Beach, FL
Practice location
999 Mar Walt Dr
Fort Walton Beach, FL 32547-6758
Fax (850) 862-7965
Mailing address
1005 Mar Walt Drive
Fort Walton Beach, FL 32547-6707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | ME96715 (FL) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
3 other providers at this address
Other surgery physician providers in Fort Walton Beach
- John Christofer Dali, MDSurgery Physician Fort Walton Beach, FL NPI 1023083177
- Mauri G. Lunderman, MDSurgery Physician Fort Walton Beach, FL NPI 1033103825
- Emilio Claudio Calabrese, MDSurgery Physician Fort Walton Beach, FL NPI 1063852192
- Robert Lane Rogers, MDSurgery Physician Fort Walton Beach, FL NPI 1073598983
- Patrick Thomas McGraw, MDSurgery Physician Fort Walton Beach, FL NPI 1174677124
- Sandra Lee Hanson, MDSurgery Physician Fort Walton Beach, FL NPI 1235105529
- Michael William Restey, MDSurgery Physician Fort Walton Beach, FL NPI 1346222122
- David W. Burkland, MDSurgery Physician Fort Walton Beach, FL NPI 1467437616
About NPI 1487639621
Randall Louis McKissack, MD's National Provider Identifier is 1487639621, issued on Dec 9, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Nov 12, 2020.