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NPI Code Detail

MEDICARE: DR. AMY ANNELLE MCCOY D.O.

MEDICARE: DR. AMY ANNELLE MCCOY D.O.
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
1207Q00000XFamily Medicine PhysicianOS10854FL

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 : 1649387887
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY ANNELLE MCCOY D.O.
Provider Business Mailing Address
First Line : 630 JACKSONVILLE DR
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3814
Country : US
Telephone Number : 904-249-4645
Fax Number : 904-249-6613
Provider Business Practice Location Address
First Line : 630 JACKSONVILLE DR
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3814
Country : US
Telephone Number : 904-249-4645
Fax Number : 904-249-6613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 12/10/2025

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