Individual
JOELLE MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1150 N 35TH AVE, SUITE 170, HOLLYWOOD, FL 33021-5424
(954) 265-6363
(954) 981-3872
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(542) 765-6859
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004187100
—
FL
Enumeration date
09/27/2006
Last updated
03/19/2021
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