Eason, Donald

Eason, Donald is an individual health care provider with primary practice located at 1119 Interlochen Blvd , Winter Haven FL 33884-3707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Eason, Donald can be contacted via phone (863) 289-6060.

Contact Information

Primary practice address
1119 Interlochen Blvd Winter Haven FL 33884-3707
Phone: (863) 289-6060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0059921 Florida

Profile Details

NPI number 1538163159
LBN Legal business name Eason, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 19th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538163159 NPPES
Florida MEDICAID 057113000

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