Individual
MS. MCKENZIE LAYNE MANRESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10000 W COLONIAL DR, OCOEE, FL 34761-3400
(321) 841-6444
(407) 650-1307
Mailing address
7236 STONEROCK CIR, ORLANDO, FL 32819-8000
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9111695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101257000
—
FL
Enumeration date
10/02/2018
Last updated
12/22/2023
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