Mackenzie, William Carl

Mackenzie, William Carl is an individual health care provider with primary practice located at 2200 Fowler Grove Blvd Ste 360 , Winter Garden FL 34787-5597. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Mackenzie, William Carl can be contacted via phone (844) 407-4070.

Contact Information

Primary practice address
2200 Fowler Grove Blvd Ste 360 Winter Garden FL 34787-5597
Phone: (844) 407-4070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9112545 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9112545 Florida

Profile Details

NPI number 1508427337
LBN Legal business name Mackenzie, William Carl
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 18th, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508427337 NPPES
Florida MEDICAID 104444700

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