Individual
MARTHA L MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
2120 SW 22ND PL, OCALA, FL 34474-7065
(352) 732-5042
(352) 732-6031
Mailing address
2120 SW 22ND PL, OCALA, FL 34474-7065
(352) 732-5042
(352) 732-6031
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN 535372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245034
HEALTHEASE
FL
01
—
Y5033
BLUE CROSS OF FLORIDA
FL
Enumeration date
05/25/2007
Last updated
07/08/2007
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