MIKAEL JUDSON MACKINNEY

DESTIN, FL
NPI1376819151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME123516)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  2012020815)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-03-27
Last Update Date2015-06-29
Business Address
-- MIKAEL JUDSON MACKINNEY M.D
36500 EMERALD COAST PKWY
DESTIN, FL 32541-4713
Phone number: 850-837-0032
Mailing Address
-- MIKAEL JUDSON MACKINNEY M.D
36500 EMERALD COAST PKWY
DESTIN, FL 32541-4713
Phone number: 850-837-0032