Miranda Padilla, Mackenzie Aileen

Miranda Padilla, Mackenzie Aileen is an individual health care provider with primary practice located at 1799 Salk Ave , Tavares FL 32778-4311. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Miranda Padilla, Mackenzie Aileen can be contacted via phone (352) 742-8300.

Contact Information

Primary practice address
1799 Salk Ave Tavares FL 32778-4311
Phone: (352) 742-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11041035 Florida

Profile Details

NPI number 1740153196
LBN Legal business name Miranda Padilla, Mackenzie Aileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2025
Last updated Mar 10th, 2026 - about 7 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.

Request for update

Popular Providers