MEDICARE: WILFRED C MCKENZIE PA

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
1	207R00000X	Internal Medicine Physician	ME0059669	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295705838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILFRED C MCKENZIE PA

Provider Business Mailing Address
First Line	:	301 NW 84TH AVE STE 302
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1807
Country	:	US
Telephone Number	:	954-832-0055
Fax Number	:	954-832-0063

Provider Business Practice Location Address
First Line	:	301 NW 84TH AVE STE 302
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1807
Country	:	US
Telephone Number	:	954-832-0055
Fax Number	:	954-832-0063

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILFRED CLIFTON MCKENZIE
Credential	:	M.D.
Telephone Number	:	954-832-0055

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	12/22/2025

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Directions to “WILFRED C MCKENZIE PA ” Practice Location

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