Individual
MICHAEL ODELL MCKINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3601 SW 160TH AVE, SUITE #250, MIRAMAR, FL 33027-6308
(954) 399-4642
(877) 859-8768
Mailing address
PO BOX 21686, TAMPA, FL 33622-1686
(813) 343-5500
(813) 343-5506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS10721
FL
208600000X
Surgery Physician
Primary
OS10721
FL
Other
Enumeration date
09/22/2009
Last updated
09/23/2024
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