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Individual

MS. CORISSA MCKENZIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS16778
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2017
Last updated
04/19/2023
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