Individual
MRS. MACKENZIE DONIGAN SAADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD FL 2, TAMPA, FL 33607-6307
(813) 321-6580
(813) 443-8185
Mailing address
3003 W DR MARTIN LUTHER KING JR BLVD BLDG 2ND, TAMPA, FL 33607-6307
(813) 321-6580
(813) 321-6315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9111100
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9111100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025161200
—
FL
Enumeration date
01/25/2018
Last updated
05/10/2023
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