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Organization
WILLIAM TONY MCKENZIE MD, PA
Active
Organization
WILLIAM TONY MCKENZIE MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TONY MCKENZIE M.D. (OWNER)
(850) 522-5864
Entity
Organization
Contact information
Practice address
1397 JENKS AVE # 1, PANAMA CITY, FL 32401-2442
(850) 522-5864
(850) 522-5863
Mailing address
1397 JENKS AVE # 1, PANAMA CITY, FL 32401-2442
(850) 522-5864
(850) 522-5863
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0093485
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11505271
CAQH
FL
05
—
273178900
—
FL
01
—
ME0093485
LICENSE
FL
Enumeration date
01/08/2007
Last updated
03/07/2023
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