Mackinney, Mikael Judson

Mackinney, Mikael Judson is an sole proprietor health care provider with primary practice located at 36500 Emerald Coast Pkwy , Destin FL 32541-4713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mackinney, Mikael Judson can be contacted via phone (850) 837-0032.

Contact Information

Primary practice address
36500 Emerald Coast Pkwy Destin FL 32541-4713
Phone: (850) 837-0032
Fax: (850) 650-2787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2012020815 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME123516 Florida

Profile Details

NPI number 1376819151
LBN Legal business name Mackinney, Mikael Judson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2012
Last updated Jun 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers