Individual
JOSEPHINE MEEI MACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
12810 TAMIAMI TRL N STE 100-D, NAPLES, FL 34110-1614
(239) 842-9199
(239) 320-9986
Mailing address
4995 MILANO ST, AVE MARIA, FL 34142-9545
(239) 842-9199
(239) 320-9986
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
51605-21
WI
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS19082
FL
Other
Enumeration date
08/22/2006
Last updated
11/05/2024
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