Provider Demographics
NPI:1316209810
Name:MCGINLEY, EDWARD TERENCE (AP, DOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:TERENCE
Last Name:MCGINLEY
Suffix:
Gender:M
Credentials:AP, DOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2964 AVIATION AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COCONUT GROVE
Mailing Address - State:FL
Mailing Address - Zip Code:33133-3862
Mailing Address - Country:US
Mailing Address - Phone:305-443-2220
Mailing Address - Fax:305-443-2220
Practice Address - Street 1:2964 AVIATION AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-3862
Practice Address - Country:US
Practice Address - Phone:305-443-2220
Practice Address - Fax:305-443-2220
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3054171100000X
PAAK000950171100000X
NY003961171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist