Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Makenzie Gordon Mabe, PA-C

Individual provider Physician Assistant · NPI 1891392502

Makenzie Gordon Mabe, PA-C is a Physician Assistant in Lakeland, Florida. Qualified in 2020, 6 years ago. Practices with Watson Clinic LLP, a 362-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019
Phone: (863) 680-7490
Fax: (866) 264-8519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113862 (FL)

Record details

NPI number1891392502
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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