Mac Innovation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MAC INNOVATION

Practice address

1460 S McCall Rd Ste 1a
Englewood, FL 34223-4824

Phone

(520) 904-5035

NPI assigned

Apr 16, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Cassandra Sylvia Young

Title

Ceo

Phone

(520) 904-5035

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1619811056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 S MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S MCCALL RD STE 1A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234824",
            "telephone_number": "520-904-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC INNOVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "SYLVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-904-5035",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther L Luna, LMT
• Helen Marie Lundy
• Lyle G Vasher D P M P a
• Naomi Grace Pepper Lynch, PA-C
• Lynn R Bernstein & Associates PA
• Tayler Brianne Madison
• Margaret a. Gainey M.D.
• Kimberly Marino-Micheel, DOM,LAC,AP,DIPL,RN
• Mark Konwiser MD PA
• Jacquelyn Nikol Martinez

• Multi-Specialty Clinic/Center in Englewood, FL
• Providers in Englewood, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.