Makenzie Jo Judy
Physical Medicine & Rehabilitation Doctor
2614 Golden Antler Ln
Lutz
, Florida 33559-3130
Makenzie Jo Judy
Physical Medicine & Rehabilitation Doctor
2614 Golden Antler Ln
Lutz
, Florida 33559-3130
(417) 658-5308
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Makenzie Jo Judy
- 2614 Golden Antler Ln
- Lutz, FL
- Zip : 33559-3130
- Phone : (417) 658-5308
Second Address
- Makenzie Jo Judy
- 2614 Golden Antler Ln
- Lutz, FL
- Zip : 33559-3130
- Phone : (417) 658-5308
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT35151 | FL |
National Provider Identifier
| NPI | 1043855406 |
|---|---|
| Provider Name | Makenzie Jo Judy |
| First Address | Lutz, FL 33559-3130 |
| Second Address | Lutz, FL 33559-3130 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2019 |
| Last Update Date | 08/11/2019 |
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.