NPI 1679194559

Makayla D Register

Practitioner Peer Specialist Lake City, FL

Practice location

Address: 439 SW Michigan St, Lake City, FL 32025-0440
Phone: (386) 487-0800

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1679194559
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2020
Record last updated: 1 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.