Space Coast Foot & Ankle Center

LBN: John D Mackenney Pa
Space Coast Foot & Ankle Center is an health care organization with primary practice located at 6550 N Wickham Rd Ste 4 , Melbourne FL 32940-2038. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is the primary health care specialty. John D Mackenney Pa can be contacted via phone (321) 259-4268, or through Mackenney, John David via phone (321) 259-4268.

Contact Information

Primary practice address
6550 N Wickham Rd Ste 4 Melbourne FL 32940-2038
Phone: (321) 259-4268
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mackenney, John David Doctor of Podiatric Medicine (DPM)
Phone: (321) 259-4268

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3043 Florida
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1841472479
LBN Legal business name John D Mackenney Pa
DBA Doing business as Space Coast Foot & Ankle Center
Authorized official Mackenney, John David Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Aug 9th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841472479 NPPES
Florida MEDICAID 340376900

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