Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO0002404 | FL |
NPI | 1023098415 |
---|---|
Provider Name | Dr. Terence D Mcdonald |
First Address | Hollywood, FL 33021-5708 |
Second Address | Fort Lauderdale, FL 33308-1412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U48310 | (02) | FL |