Individual
MS. MACKENSIE LIGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(888) 663-3488
Mailing address
PO BOX 198441, TAMPA, FL 33612-9416
(813) 745-4673
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA802
FL
367H00000X
Anesthesiologist Assistant
PENDING
MO
Other
Enumeration date
07/21/2022
Last updated
04/10/2026
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