Mackinson Phileus

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

714 Barnett Dr Bay 23
Lake Worth Beach, FL 33461-3357

Phone

(561) 895-3780

NPI assigned

Sep 26, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Big Mac Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1356214258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 ISLAND CLUB CIR W",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622183",
            "telephone_number": "561-895-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 BARNETT DR BAY 23",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334613357",
            "telephone_number": "561-895-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILEUS",
        "first_name": "MACKINSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIG",
            "last_name": "MAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adrian Pena Menendez
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• Contractor in Lake Worth Beach, FL
• Providers in Lake Worth Beach, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.