Individual
JUSTIN MACKENZIE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2500
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2500
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME169404
FL
208800000X
Urology Physician
TRN38124
FL
Other
Enumeration date
03/22/2023
Last updated
08/08/2024
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