Individual provider · Type 1 NPI

Mackenzie Michaels Blackstock, DO

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1780526087 Active

Practice location

2415 N Orange Ave Ste 400
Orlando, FL 32804-5505

Call (407) 303-7203 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X11554 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780526087

Mackenzie Michaels Blackstock, DO's National Provider Identifier is 1780526087, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on Jun 10, 2026.