person
Roderick John Mckenzie, PA-C
Medical Physician Assistant in Davenport, Florida
NPI 1134202856

Roderick John Mckenzie is a Medical Physician Assistant based in Davenport, FL and is specialized in Medical. Roderick John Mckenzie practices in Davenport, FL and has the professional credentials of PA-C. The NPI Number for Roderick John Mckenzie is 1134202856 and holds a License No. PA1758 (Florida).

The current practice location address for Roderick John Mckenzie is 141 Web Drive Suite 300, Davenport, FL and can be reached out via phone at 863-422-0020 and via fax at 863-422-0021.

Location: 141 Web Drive Suite 300, Davenport, FL, 33837
person
Provider Profile Details
NPI Number
1134202856
Provider Name
Roderick John Mckenzie
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
141 Web Drive Suite 300, Davenport, FL, 33837
Phone Number
863-422-0020
Fax Number
863-422-0021
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992785513 01 FL GROUP NPI
21281 01 FL MEDICARE GROUP
1134202856 01 FL NPI
21281A 01 FL MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
141 Web Drive Suite 300
City
State
Zip
33837
Phone Number
863-422-0020
Fax Number
863-422-0021
person
Provider Business Mailing Address Details
Address
141 Web Drive Suite 300
City
State
Zip
33837
Phone Number
863-422-0020
Fax Number
863-422-0021
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA1758 (Florida)
Definition
Definition to come...
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