Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | ME0051626 | FL |
NPI | 1669426920 |
---|---|
Provider Name | Dr. Donald Plumley |
First Address | Orlando, FL 32806-2967 |
Second Address | Orlando, FL 32806-2967 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 01/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
053937600 | (05) | FL |
68563 | BCBS FL (01) | FL |
E91545 | (02) | FL |