DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KATELIN MACKENZIE GARY

MEDICARE: KATELIN MACKENZIE GARY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1063369049
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELIN MACKENZIE GARY
Provider Business Mailing Address
First Line : 3401 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3401 S UNIVERSITY DR
Second Line :
City : DAVIE
State : FL
Zip : 33328-2021
Country : US
Telephone Number : 954-262-1955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

Similar Medicare Providers

1326986068 — JOSHUA MACRI
Practice Location Address:
3401 S UNIVERSITY DR
DAVIE, FL
33328-2021
Practice Phone: 954-262-1255
Practice Fax:
1992652770 — MICHAELA PREVALLET
Practice Location Address:
3401 S UNIVERSITY DR
DAVIE, FL
33328-2021
Practice Phone: 954-262-1255
Practice Fax:
1326993478 — RYAN MICHAEL CAFFREY
Practice Location Address:
3401 S UNIVERSITY DR
DAVIE, FL
33328-2021
Practice Phone: 954-262-1255
Practice Fax:
1699593616 — NOAH STAPLETON
Practice Location Address:
3401 S UNIVERSITY DR
DAVIE, FL
33328-2021
Practice Phone: 954-262-1255
Practice Fax:
1982570198 — DALIANA PAGAN RODRIGUEZ
Practice Location Address:
3401 S UNIVERSITY DR
DAVIE, FL
33328-2021
Practice Phone: 954-262-1300
Practice Fax:
1750236303 — MR. JAMES ALTON LOVELESS III
Practice Location Address:
3401 S UNIVERSITY DR
DAVIE, FL
33328-2021
Practice Phone: 954-262-1255
Practice Fax:

Directions to “ KATELIN MACKENZIE GARY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.