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NPI Code Detail

MEDICARE: DR. GARY S MCCOY DPM

MEDICARE: DR. GARY S MCCOY 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
1213E00000XPodiatristPO1996FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3480030592OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
159-3516897OTHERFLTAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245200039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY S MCCOY DPM
Provider Business Mailing Address
First Line : 3771 SAN JOSE PL STE 26
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2439
Country : US
Telephone Number : 904-262-7087
Fax Number : 904-262-7215
Provider Business Practice Location Address
First Line : 3771 SAN JOSE PL STE 26
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-2439
Country : US
Telephone Number : 904-262-7087
Fax Number : 904-262-7215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 03/10/2026

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Directions to “ DR. GARY S MCCOY DPM” Practice Location

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