Individual
DR. BENJAMIN DANN MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 TAMPA GENERAL CIR STE 300, TAMPA, FL 33606-3578
(813) 251-0793
(813) 844-1988
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 251-0793
(813) 844-1988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001477
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME115620
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001477
GA TMP TRAINING PERMIT
GA
05
—
008608500
—
FL
Enumeration date
01/06/2008
Last updated
03/26/2024
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