| Mac Innovation | |
|
1460 S Mccall Rd Ste 1a Englewood FL 34223-4824 | |
| (520) 904-5035 | |
| Not Available |
| Full Name | Mac Innovation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1460 S Mccall Rd Ste 1a, Englewood, Florida |
| Authorized Official Name and Position | Cassandra Sylvia Young (CEO) |
| Authorized Official Contact | 5209045035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mac Innovation 1460 S Mccall Rd Englewood FL 34223-4864 | Mac Innovation 1460 S Mccall Rd Ste 1a Englewood FL 34223-4824 Ph: (520) 904-5035 |
| NPI Number | 1619811056 |
|---|---|
| Provider Enumeration Date | 04/16/2026 |
| Last Update Date | 04/16/2026 |
| Certification Date | 04/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619811056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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