Individual
MAKENZIE JO JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2614 GOLDEN ANTLER LN, LUTZ, FL 33559-3130
(417) 658-5308
Mailing address
2614 GOLDEN ANTLER LN, LUTZ, FL 33559-3130
(417) 658-5308
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT35151
FL
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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