Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 19330 | MS |
N | 207W00000X | Ophthalmologist | M9496 | TX |
Y | 207W00000X | Ophthalmologist | ME104277 | FL |
NPI | 1033293451 |
---|---|
Provider Name | Frank Wilson Mcdonald |
First Address | Jacksonville, FL 32204-3359 |
Second Address | Jacksonville, FL 32204-3359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 21/07/2009 |