Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKAEL JUDSON MACKINNEY, M.D
Active Sole ProprietorMIKAEL JUDSON MACKINNEY, M.D is a Family Medicine healthcare provider located in DESTIN, Florida. NPI 1376819151 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DESTIN, FL
Registration Details
- NPI Number
- 1376819151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2012 (14.383332532538 yrs)
- Last Updated
- Jun 29, 2015
- Licenses
-
2012020815 (MO)ME123516 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
36500 EMERALD COAST PKWYDESTIN, FL, 325414713Browse FL providers · Browse ZIP 32541
- Phone
- 8508370032
- Fax
- 8506502787
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in DESTIN, FL
| Name | Credential | NPI |
|---|---|---|
| MR. HARRY YEATES | MD | 1578561973 |
| MR. ANTHONY V LANASA | MD | 1447245105 |
| DR. JOHN LUTHER LENTZ JR. | M.D. | 1356395693 |
| DAVID L. ZIELINSKI | MD | 1407895790 |
| LISA BARDY CLARK | M.D. | 1598779100 |
| KYLE S CHAVERS | MD | 1902957582 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.