Mckenney, Mark

Mckenney, Mark is an individual health care provider with primary practice located at 11760 Bird Rd Suite 722, Miami FL 33175-3582. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Mckenney, Mark can be contacted via phone (305) 559-1883.

Contact Information

Primary practice address
11760 Bird Rd Suite 722 Miami FL 33175-3582
Phone: (305) 559-1883
Fax: (305) 559-1887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME57722 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME57722 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME57722 Florida

Profile Details

NPI number 1437212099
LBN Legal business name Mckenney, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Feb 9th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437212099 NPPES
Florida MEDICAID 3707504-00

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