Mcdonald, John Douglas

Mcdonald, John Douglas is an individual health care provider with primary practice located at 2954 Mallory Cir Ste 101 , Celebration FL 34747-1822. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Mcdonald, John Douglas can be contacted via phone (321) 939-0222.

Contact Information

Primary practice address
2954 Mallory Cir Ste 101 Celebration FL 34747-1822
Phone: (321) 939-0222
Fax: (321) 939-0225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 34708 Colorado
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 85672 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 85672 Florida

Profile Details

NPI number 1942309695
LBN Legal business name Mcdonald, John Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 9th, 2022 - about 2 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 1942309695 NPPES
Florida MEDICAID 265087800

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