Search › Florida › 1710I1003X
Jake Mackinnon, SOIDC
NPI 1831833953 · on the registry since 2022
Practice
- Address
- 350 Crag Rd
Panama City Beach, FL 32407 - Phone
- (760) 277-3999
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1710I1003X
1710I1003X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida