Individual
MCKENZI A PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11645 BISCAYNE BLVD STE 401, 403, 405, NORTH MIAMI, FL 33181
(305) 538-8835
(305) 994-0054
Mailing address
11645 BISCAYNE BLVD STE 207, NORTH MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9119135
FL
363AM0700X
Medical Physician Assistant
Primary
PA9119135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124546400
—
FL
Enumeration date
08/21/2024
Last updated
08/29/2025
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