Dr. Justin Mackenzie Vining
Pediatrician Pediatric Cardiologist
2418 E Plaza Dr
Tallahassee
, Florida 32308-5301
Dr. Justin Mackenzie Vining
Pediatrician Pediatric Cardiologist
2418 E Plaza Dr
Tallahassee
, Florida 32308-5301
(904) 391-5075
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Justin Mackenzie Vining
- Po Box 44047
- Jacksonville, FL
- Zip : 32231-4047
- Fax : (904) 391-5075
- Phone : (904) 376-4083
Second Address
- Dr. Justin Mackenzie Vining
- 2418 E Plaza Dr
- Tallahassee, FL
- Zip : 32308-5301
- Fax : (850) 629-4859
- Phone : (850) 629-4861
Reviews
FAQs
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Is Dr. Justin Mackenzie Vining a sole practitioner?
Is Dr. Justin Mackenzie Vining accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 002992 | GA |
| N | 208000000X | Pediatrician | ME126004 | FL |
| N | 2080P0202X | Pediatric Cardiologist | 066664 | GA |
| Y | 2080P0202X | Pediatric Cardiologist | ME126004 | FL |
National Provider Identifier
| NPI | 1184886822 |
|---|---|
| Provider Name | Dr. Justin Mackenzie Vining |
| First Address | Jacksonville, FL 32231-4047 |
| Second Address | Tallahassee, FL 32308-5301 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2008 |
| Last Update Date | 18/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 066664 | GA LICENSES (01) | |
| FV4526236 | GA DEA (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.