Provider Demographics
NPI:1275569915
Name:CAY, EMIN S (MD)
Entity Type:Individual
Prefix:DR
First Name:EMIN
Middle Name:S
Last Name:CAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EVERGREEN CIR
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32176-2310
Mailing Address - Country:US
Mailing Address - Phone:703-532-2121
Mailing Address - Fax:
Practice Address - Street 1:1 EVERGREEN CIR
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32176-2310
Practice Address - Country:US
Practice Address - Phone:703-532-2121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-041039208D00000X
FLME 88347208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA571365Medicare ID - Type UnspecifiedOLD MEDICARE PROVIDER NO.
VAE23125Medicare UPIN