Wilfred C Mckenzie Pa

LBN: Wilfred C Mckenzie Pa
Wilfred C Mckenzie Pa is an health care organization with primary practice located at 1625 Se 3Rd Ave Suite 400, Fort Lauderdale FL 33316-2521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Wilfred C Mckenzie Pa can be contacted via phone (954) 832-0055, or through Mckenzie, Wilfred Clifton via phone (954) 832-0055.

Contact Information

Primary practice address
1625 Se 3Rd Ave Suite 400 Fort Lauderdale FL 33316-2521
Phone: (954) 832-0055
Fax: (954) 832-0063
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Wilfred Clifton Doctor of Medicine (MD)
Phone: (954) 832-0055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0059669 Florida

Profile Details

NPI number 1295705838
LBN Legal business name Wilfred C Mckenzie Pa
DBA Doing business as
Authorized official Mckenzie, Wilfred Clifton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 13th, 2010 - about 15 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 1295705838 NPPES
Florida MEDICAID 257017300
Florida MEDICAID 371522100

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