Individual
MACKINSON PHILEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 BARNETT DR BAY 23, LAKE WORTH BEACH, FL 33461-3357
(561) 895-3780
Mailing address
3947 ISLAND CLUB CIR W, LAKE WORTH, FL 33462-2183
(561) 895-3780
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
09/26/2025
Last updated
10/24/2025
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