Provider Demographics
NPI:1205013471
Name:MAKKI, ACHRAF (MD)
Entity Type:Individual
Prefix:MR
First Name:ACHRAF
Middle Name:
Last Name:MAKKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:ACHRAF
Other - Middle Name:ALI
Other - Last Name:MAKKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2202 STATE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PANAMA
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4545
Mailing Address - Country:US
Mailing Address - Phone:850-785-0029
Mailing Address - Fax:850-785-7600
Practice Address - Street 1:2202 STATE AVE STE 201
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4582
Practice Address - Country:US
Practice Address - Phone:850-785-0029
Practice Address - Fax:850-785-7600
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD253042084N0400X
FLME1006272084N0400X
GA969902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL280811100Medicaid
FL107950600Medicaid
FL280811100Medicaid