MEDICARE: DAVID GAY M.D.

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
1	207X00000X	Orthopaedic Surgery Physician	ME105484	FL

General Provider Information

NPI Number	:	1356402390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID GAY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 3266
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32085-3266
Country	:	US
Telephone Number	:	904-819-4602
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 CITY PL
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-2479
Country	:	US
Telephone Number	:	904-819-2999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	10/05/2020

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Directions to “ DAVID GAY M.D.” Practice Location

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