Provider Demographics
NPI:1285961904
Name:MCGEE, ANTONIO JOSEPH
Entity type:Individual
Prefix:
First Name:ANTONIO
Middle Name:JOSEPH
Last Name:MCGEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13032
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32206-1032
Mailing Address - Country:US
Mailing Address - Phone:904-253-1277
Mailing Address - Fax:904-253-1973
Practice Address - Street 1:1833 BOULEVARD STE 500
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32206-4377
Practice Address - Country:US
Practice Address - Phone:904-253-1277
Practice Address - Fax:904-253-1973
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator