Mcdonough, James S

Mcdonough, James S is an individual health care provider with primary practice located at 455 W Warren Ave , Longwood FL 32750-4002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mcdonough, James S can be contacted via phone (407) 262-2220.

Contact Information

Primary practice address
455 W Warren Ave Longwood FL 32750-4002
Phone: (407) 262-2220
Fax: (407) 834-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME91562 Florida

Profile Details

NPI number 1063468700
LBN Legal business name Mcdonough, James S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 11th, 2011 - about 14 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 1063468700 NPPES
Florida MEDICAID 271252100

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