DR. MACKENZIE MICHAELS BLACKSTOCK DO
NPI 1780526087
Student in an Organized Health Care Education/Training Program in Orlando, FL

Q: What is Mackenzie Blackstock's NPI number?

The NPI number for Mackenzie Blackstock is 1780526087. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Q: What is Mackenzie Blackstock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 07, 2026PECOS Enrolled

2415 N ORANGE AVE STE 400, ORLANDO, FL 32804(407) 303-7203 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mackenzie Michaels Blackstock Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MACKENZIE MICHAELS BLACKSTOCK DO (NPI 1780526087) is an individual student in an organized health care education/training program in Orlando, Florida, licensed in Florida (11554) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780526087

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. MACKENZIE MICHAELS BLACKSTOCKCredential: DO

Location Address2415 N ORANGE AVE STE 400Orlando, FL 32804-5505

Mailing Address2415 N Orange Ave Ste 400Orlando, FL 32804-5505 · (407) 303-7203

Phone(407) 303-7203

Sole ProprietorNo

Enumeration DateApril 7, 2026

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1780526087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · 11554

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2415 N ORANGE AVE STE 400, Orlando, FL 32804

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mackenzie Michaels Blackstock Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AHMET CELAL TOPRAK MD

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