Mcdonald, Judith Carole

Mcdonald, Judith Carole is an individual health care provider with primary practice located at 400 Celebration Pl , Kissimmee FL 34747-4970. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Mcdonald, Judith Carole can be contacted via phone (407) 599-2700.

Contact Information

Primary practice address
400 Celebration Pl Kissimmee FL 34747-4970
Phone: (407) 599-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA002507L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA002507L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101999 Florida

Profile Details

NPI number 1932131240
LBN Legal business name Mcdonald, Judith Carole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 14th, 2022 - about 3 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 1932131240 NPPES
Florida MEDICAID 102182500
Florida Other Y04PH

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