Provider Demographics
NPI:1558984872
Name:MCGINNIS, AUBREY ELIZABETH (RDMS)
Entity Type:Individual
Prefix:MRS
First Name:AUBREY
Middle Name:ELIZABETH
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:MISS
Other - First Name:AUBREY
Other - Middle Name:
Other - Last Name:BUFKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7226 MILESTONE DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-1743
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13005 S US 301
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7439
Practice Address - Country:US
Practice Address - Phone:813-347-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2274082085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound