John D Mackenney Pa in Melbourne - Durable Medical Equipment & Medical Supplies

John D Mackenney Pa - NPI 1841472479

John D Mackenney Pa is a Durable Medical Equipment & Medical Supplies in Melbourne, Florida. John D Mackenney Pa practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for John D Mackenney Pa is 1841472479. The last update date is 2011-08-09.

John D Mackenney Pa's current location address is 6550 N Wickham Rd Ste 4, Melbourne, Florida. You can contact this provider via phone number 3212594268. The mailing address for John D Mackenney Pa is 6550 N Wickham Rd Ste 4, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization John D Mackenney Pa
Address 6550 N Wickham Rd Ste 4, Melbourne, Florida
Phone Number 3212594268
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PHY
Authorized Official Name Mackenney David John
Credentials DPM
Telephone Number 3212594268

NPI Number Detail

NPI Number 1841472479
Provider Enumeration Date 2007-12-05
Last Updated Date 2011-08-09

Provider Mailing Address Detail

Address 6550 N Wickham Rd Ste 4
City Melbourne
State Florida (FL)
Post Code 329402038
Phone Number 3212594268
Fax Number

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
Definition:
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
340376900 FL --

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FAQs about John D Mackenney Pa

What is the John D Mackenney Pa's unique identification number?

The John D Mackenney Pa has been assigned the NPI (National Provider Identifier) Number 1841472479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of John D Mackenney Pa?

The John D Mackenney Pa is situated at 6550 N Wickham Rd Ste 4, in the city of Melbourne, state of FL, with the zip code 329402038.

What is John D Mackenney Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John D Mackenney Pa's specialized field of practice is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this area of specialization is 332B00000X.

When did the John D Mackenney Pa receive its 1841472479?

The John D Mackenney Pa was issued its 1841472479 on 2007-12-05, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to John D Mackenney Pa most recently updated or revised?

The information pertaining to John D Mackenney Pa, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-09.

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