Organization · Type 2 NPI
John D Mackenney PA
Foot & Ankle Surgery Podiatrist · Melbourne, FL
NPI number
1841472479
Active
Practice location
6550 N Wickham Rd Ste 4
Melbourne, FL 32940-2038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO3043 (FL) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1841472479
John D Mackenney PA's National Provider Identifier is 1841472479, issued on Dec 5, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Melbourne, FL. The record was last updated on Aug 9, 2011.