Search › Florida › 106S00000X
Macy Kwakenat
NPI 1992211098 · on the registry since 2017
Practice
- Address
- 166 A1a N
Ponte Vedra Beach, FL 32082 - Phone
- (904) 395-3468
- Organisation at this address
- Mcgrew Clinic Llc
First Coast Brain Builders, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-12-27
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