Individual provider · Type 1 NPI

Mackenzie Aileen Miranda Padilla

Psychiatric/Mental Health Nurse Practitioner · Tavares, FL

NPI number 1740153196 Active

Practice location

1799 Salk Ave
Tavares, FL 32778-4311

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	11041035 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

9 other providers at this address

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Elsie H. Bowman, LCSWMental Health Counselor Tavares, FL NPI 1023215597
Evelyn R. Baez-Rojas, PhDClinical Psychologist Tavares, FL NPI 1477614139
Hector M. De Leon, MDChild & Adolescent Psychiatry Physician Tavares, FL NPI 1821023268
Jeanine D'onofrio, LMHC, NCCMental Health Counselor Tavares, FL NPI 1962447433
John Lee Sanders, LMHC, LCASMental Health Counselor Tavares, FL NPI 1265602825
Tiffany Stephens, APRN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Tavares, FL NPI 1427785120
Wendy J. Krauss, MSMental Health Counselor Tavares, FL NPI 1740371525

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About NPI 1740153196

Mackenzie Aileen Miranda Padilla's National Provider Identifier is 1740153196, issued on Sep 23, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tavares, FL. The record was last updated on Mar 10, 2026.