Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 35.091755 | OH |
Y | 2086X0206X | Surgical Oncologist | ME143173 | FL |
NPI | 1285685495 |
---|---|
Provider Name | Michael Donald Mcphee |
First Address | Altamonte Springs, FL 32701-5102 |
Second Address | Altamonte Springs, FL 32701-5102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 10/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000569683 | ANTHEM (01) | |
05437 | PHC (01) | |
266982000 | (05) | FL |
2844462 | (05) | OH |
49159 | HPM (01) | |
5492605 | AETNA (01) | |
G54238 | (02) | FL |
P00660160 | RRMC (01) |