Mckenzie, Mark Daniel
Mckenzie, Mark Daniel is an individual health care provider with primary practice located at 190 Southpark Blvd , Saint Augustine FL 32086-4120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mckenzie, Mark Daniel can be contacted via phone (904) 824-1478.Contact Information
Primary practice address
190 Southpark Blvd
Saint Augustine FL 32086-4120
Phone: (904) 824-1478
Fax: (904) 824-8071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT4227 | Florida |
Profile Details
| NPI number | 1275017972 |
|---|---|
| LBN Legal business name | Mckenzie, Mark Daniel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2018 |
| Last updated | Sep 18th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275017972 | NPPES |
| Florida | Other | OT4227 | OT LICENSE |
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