Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | OS15537 | FL |
NPI | 1073928925 |
---|---|
Provider Name | Dr. John William Mcdonald |
First Address | Miami, FL 33126-3796 |
Second Address | Miami, FL 33126-3796 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2014 |
Last Update Date | 09/10/2019 |