Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | ME135441 | FL |
NPI | 1164651055 |
---|---|
Provider Name | Dr. Kerry-Ann Camille Alecia Mcdonald |
First Address | Boca Raton, FL 33486-2344 |
Second Address | Boca Raton, FL 33486 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 07/10/2018 |