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NPI Code Detail

MEDICARE: MS. SANDRA MCKENZIE

MEDICARE:  MS. SANDRA  MCKENZIE
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
1175F00000XNaturopathMA19924FL

General Provider Information

NPI Number : 1144422767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA MCKENZIE
Provider Business Mailing Address
First Line : 7610 NW 79TH AVE APT I5
Second Line :
City : TAMARAC
State : FL
Zip : 33321-9006
Country : US
Telephone Number : 954-770-6018
Fax Number :
Provider Business Practice Location Address
First Line : 1852 N NOB HILL RD
Second Line :
City : PLANTATION
State : FL
Zip : 33322-6548
Country : US
Telephone Number : 954-476-6401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2007
Last Update Date : 07/08/2007

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Directions to “ MS. SANDRA MCKENZIE ” Practice Location

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