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SPACE COAST FOOT & ANKLE CENTER
NPI 1841472479
Podiatrist - Foot & Ankle Surgery in Melbourne, FL

Active since December 05, 2007
6550 N WICKHAM RD STE 4, MELBOURNE, FL 32940(321) 259-4268 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Space Coast Foot & Ankle Center NPPES

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

SPACE COAST FOOT & ANKLE CENTER (NPI 1841472479) is a healthcare organization registered as a foot & ankle surgery in Melbourne, Florida and active in the NPI registry since December 2007. The organization lists John David Mackenney, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1841472479
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameJOHN D MACKENNEY PA
Location Address6550 N WICKHAM RD STE 4Melbourne, FL 32940-2038
Mailing Address6550 N Wickham Rd Ste 4Melbourne, FL 32940-2038 · (321) 259-4268
Phone(321) 259-4268
Organization SubpartNo
Authorized OfficialJohn David MackenneyOwner Physician · (321) 259-4268
Enumeration DateDecember 5, 2007
Last NPPES UpdateAugust 9, 2011
✔ NPI 1841472479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in FL · PO3043
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
6550 N WICKHAM RD STE 4, Melbourne, FL 32940
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Other Names 1

Doing Business AsSpace Coast Foot & Ankle Center

Other Identifiers 4

Medicare NSC5013550001FL
Medicare UPINU96263FL
Medicaid340376900FL
Medicare PIN65811ZFL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John D Mackenney PA's NPI number?

The NPI number for John D Mackenney PA is 1841472479. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Space Coast Foot & Ankle Center.

Where is John D Mackenney PA located?

John D Mackenney PA is located at 6550 N Wickham Rd Ste 4, Melbourne, FL 32940. The listed phone number is (321) 259-4268.

What is John D Mackenney PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for John D Mackenney PA was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.