Mc Kenzie, Earl

Mc Kenzie, Earl is an individual health care provider with primary practice located at 1300 Medical Dr , Tallahassee FL 32308-4646. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Mc Kenzie, Earl can be contacted via phone (850) 216-0100.

Contact Information

Primary practice address
1300 Medical Dr Tallahassee FL 32308-4646
Phone: (850) 216-0100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME17224 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 012109 Georgia

Profile Details

NPI number 1053311910
LBN Legal business name Mc Kenzie, Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 8th, 2007 - about 19 years 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 1053311910 NPPES
Florida Other 00000 BCBSFL
Florida Other 00000 BCBSFL
Florida Other 00000 BCBSFL
Florida Other 00000 BCBSFL
Florida Other 00000 BCBSFL
Florida MEDICAID 00239676A BCBSFL
Florida Other 00000 BCBSFL

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