Javon A. Mckenzie in Port Saint Lucie - General Practice
Javon A. Mckenzie - NPI 1073513172
Javon A. Mckenzie is a General Practice in Port Saint Lucie, Florida. Javon A. Mckenzie practices all healthcare services and medical treatments related to General Practice. The NPI Number for Javon A. Mckenzie is 1073513172. The last update date is 2018-08-07.
Javon A. Mckenzie's current location address is 154 Se Rio Angelica, Port Saint Lucie, Florida. You can contact this provider via phone number 9549950041 and fax number 6782477862. The mailing address for Javon A. Mckenzie is 154 Se Rio Angelica, Port Saint Lucie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Javon A. Mckenzie |
|---|---|
| Address | 154 Se Rio Angelica, Port Saint Lucie, Florida |
| Phone Number | 9549950041 |
| Fax Number | 6782477862 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073513172 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2018-08-07 |
Provider Mailing Address Detail
| Address | 154 Se Rio Angelica |
|---|---|
| City | Port Saint Lucie |
| State | Florida (FL) |
| Post Code | 34984 |
| Phone Number | 9549950041 |
| Fax Number | 6782477862 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3977 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZX-3977 | SC | -- |
Post Comment/ Review Below
What is the Javon A. Mckenzie's 1073513172?
The Javon A. Mckenzie's NPI (National Provider Identifier) Number is 1073513172. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Javon A. Mckenzie is physically located?
The Javon A. Mckenzie is situated at the following address: 154 Se Rio Angelica, Port Saint Lucie, FL 34984.
What is Javon A. Mckenzie's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Javon A. Mckenzie's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did Javon A. Mckenzie receive its 1073513172 assignment?
The Javon A. Mckenzie was assigned its 1073513172 on 2005-07-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Javon A. Mckenzie most recently updated?
The details pertaining to the Javon A. Mckenzie, including its address, specialty, and other relevant information, were last refreshed on 2018-08-07.
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