Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME0025808 | FL |
N | 208600000X | Surgeon | ME0025808 | FL |
Y | 208200000X | Surgeon | ME25808 | FL |
Y | 208600000X | Surgeon | ME25808 | FL |
NPI | 1023015823 |
---|---|
Provider Name | Anthony P Mcdonald |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 05/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
037725200 | (05) | FL |
253318901 | (05) | FL |
68178Y | (02) | FL |
D57811 | (02) |