Organization
365MEDMCKENNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA MCKENNA (PRESIDENT)
(341) 758-2097
Entity
Organization
Contact information
Practice address
2212 SE 3RD ST, BOYNTON BEACH, FL 33435-7210
(341) 758-2097
Mailing address
2212 SE 3RD ST, BOYNTON BEACH, FL 33435-7210
(341) 758-2097
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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