Individual
KEVIN J. MAKATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4211 VAN DYKE ROAD, SUITE 205, LUTZ, FL 33558
(813) 229-9292
(813) 229-9293
Mailing address
4211 VAN DYKE ROAD, SUITE 205, LUTZ, FL 33558
(813) 229-9292
(813) 229-9293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
101255
FL
207RC0000X
Cardiovascular Disease Physician
Primary
101255
FL
207RC0000X
Cardiovascular Disease Physician
220117
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
101255
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0442
HF MA
FL
Enumeration date
10/12/2006
Last updated
10/28/2022
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