Organization
J & E MCKINNIE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EARLINE S. MCKINNIE EN, BSN-MA CLINICAL (CEO)
(407) 847-6199
Entity
Organization
Contact information
Practice address
3501 W. VINE STREET, SUITE #275, KISSIMMEE, FL 34741
(407) 847-6199
(407) 847-6170
Mailing address
3501 W. VINE STREET, SUITE #275, KISSIMMEE, FL 34741
(407) 847-6199
(407) 847-6170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1905
FL
163WH0200X
Home Health Registered Nurse
Primary
228769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687098896
—
FL
05
—
687098898
—
FL
Enumeration date
08/03/2009
Last updated
08/03/2009
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