Individual
MACKENZIE LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8745 N WICKHAM RD, MELBOURNE, FL 32940-5997
(321) 837-3820
Mailing address
2627 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 32935-8303
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.48042
AL
Other
Enumeration date
03/24/2022
Last updated
06/30/2025
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