Provider Demographics
NPI:1386030617
Name:MCKAY, CATHER MARIE CALA (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHER
Middle Name:MARIE CALA
Last Name:MCKAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:CATHER
Other - Middle Name:MARIE
Other - Last Name:CALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CATHER MARIE CALA
Mailing Address - Street 1:12469 EMERALD COAST PKWY W STE 101
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-8306
Mailing Address - Country:US
Mailing Address - Phone:850-314-7546
Mailing Address - Fax:850-654-3320
Practice Address - Street 1:912 MAR WALT DR
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6706
Practice Address - Country:US
Practice Address - Phone:850-314-7546
Practice Address - Fax:850-654-3320
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-14
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0146496207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty