Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 175L00000X | Homeopath |
NPI | 1629591524 |
---|---|
Provider Name | Dara N. Mccoy |
First Address | Lake Placid, FL 33852-6867 |
Second Address | Lake Placid, FL 33852-9094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2017 |
Last Update Date | 23/07/2017 |