Mr. Jake Matthew Mackinnon, SOIDC
Mr. Jake Matthew Mackinnon, SOIDC is an Independent Duty Medical Technicians in Panama City Beach, Florida. Licensed in North Carolina. Registered with an NPI since 2022.
- Licensed in
- NC
- In the registry since
- 2022
Practice location Address checks out
350 Crag RdPanama City Beach, FL 32407-7013
Phone: (760) 277-3999
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Specialties & licences
| Independent Duty Medical Technicians (primary) | Taxonomy 1710I1003X (NC) |
|---|
Record details
| NPI number | 1831833953 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SOIDC |
| Sole proprietor | No |
| NPI enumerated | April 25, 2022 |
| Last updated in NPPES | April 25, 2022 |
| Certification date | April 22, 2022 |
| Mailing address | 350 Crag Rd, Panama City Beach, FL 32407-7013 |