Individual
JAMES M. MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5711 EAGLEMOUNT CIR, LITHIA, FL 33547-3852
(813) 661-1144
Mailing address
5711 EAGLEMOUNT CIR, LITHIA, FL 33547-3852
(813) 661-1144
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9101307
FL
Other
Enumeration date
02/26/2007
Last updated
10/15/2010
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