Search › Florida › 207RC0001X

Matthew Mckillop, M.D

NPI 1083702963 · on the registry since 2006

Practice

Address
836 Prudential Dr Ste 1700
Jacksonville, FL 32207
Phone
(904) 398-0125
Fax
(904) 398-1832
Organisation at this address
Walgreen Co
Faben Obg Inc
Lyerly Baptist Inc
Lyerly Baptist Inc
Florida Woman Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
228

Additional practice sites

  • 14540 Old Saint Augustine Rd Ste 2317, Jacksonville, FL
  • 1320 Roberts Dr Ste 101, Jacksonville Beach, FL
  • 1250 S 18th St Ste 202, Fernandina Beach, FL
  • 559 W Twincourt Trl Unit 601, Saint Augustine, FL

Registry record

Primary taxonomy
207RC0001X
207RC0001X
Also registered as
207RC0001X
207R00000X
207RC0000X
Licence states on file
SC, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida