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NPI Code Detail

MEDICARE: DR. WILLIAM EDWARD MCLAY DPM

MEDICARE: DR. WILLIAM EDWARD MCLAY DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristPO1384FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154337657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM EDWARD MCLAY DPM
Provider Business Mailing Address
First Line : 2445 S VOLUSIA AVE
Second Line : SUITE C4
City : ORANGE CITY
State : FL
Zip : 32763
Country : US
Telephone Number : 386-774-2085
Fax Number : 386-775-1020
Provider Business Practice Location Address
First Line : 2445 S VOLUSIA AVE
Second Line : SUITE C4
City : ORANGE CITY
State : FL
Zip : 32763-7626
Country : US
Telephone Number : 386-774-2085
Fax Number : 386-775-1020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 06/24/2008

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Directions to “ DR. WILLIAM EDWARD MCLAY DPM” Practice Location

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