Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Mackenzie David

Individual provider Urology Physician · NPI 1558063479

Justin Mackenzie David is an Urology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023
Specialties on file
2

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence ME169404 (FL)
Urology Physician Taxonomy 208800000X · Licence TRN38124 (FL)

Record details

NPI number1558063479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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