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General NPI Number Information
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NPI Number | 1295705838
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Entity Type | Organization
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Legal Business Name | WILFRED C MCKENZIE PA
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 301 NW 84TH AVE STE 302
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City | PLANTATION
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State | FL
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Zip | 33324-1807
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Country | US
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Telephone | 954-832-0055
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Fax | 954-832-0063
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Provider Business Mailing Address
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Address Line | 301 NW 84TH AVE STE 302
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City | PLANTATION
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State | FL
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Zip | 33324-1807
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Country | US
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Telephone | 954-832-0055
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Fax | 954-832-0063
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILFRED CLIFTON MCKENZIE
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Credential | M.D.
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Telephone | 954-832-0055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0059669
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License Number State | FL
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