Individual
CHAD AARON MACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 975-0410
(407) 975-0411
Mailing address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 627-9350
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
56470-20
WI
2080P0202X
Pediatric Cardiology Physician
R2913
TX
2080P0203X
Pediatric Critical Care Medicine Physician
56470
WI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME140887
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10535553966
—
WI
Enumeration date
03/24/2009
Last updated
10/20/2021
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