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NPI Code Detail

MEDICARE: DR. NATHALIE D MCKENZIE MD

MEDICARE: DR. NATHALIE D MCKENZIE MD
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
1207VX0201XGynecologic Oncology PhysicianME100220FL
2207V00000XObstetrics & Gynecology PhysicianME100220FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME100220OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1598966061
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHALIE D MCKENZIE MD
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 786
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4651
Country : US
Telephone Number : 407-303-2422
Fax Number :
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 786
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4651
Country : US
Telephone Number : 407-303-2422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/21/2022

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