Individual provider · Type 1 NPI

Leslie Lauren Mackey, PA-C

Surgical Physician Assistant · Orlando, FL

NPI number 1619928355 Active

Practice location

601 E Rollins Ave
Orlando, FL 32803-1248

Call (407) 303-6611 Map

Mailing address

PO Box 950927
Lake Mary, FL 32795-0927

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA2988 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1619928355

Leslie Lauren Mackey, PA-C's National Provider Identifier is 1619928355, issued on May 15, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Jul 13, 2026.