Mcdonough, Michael W

Mcdonough, Michael W is an sole proprietor health care provider with primary practice located at 595 W Granada Blvd Siute F, Ormond Beach FL 32174-5190. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mcdonough, Michael W can be contacted via phone (386) 673-2266.

Contact Information

Primary practice address
595 W Granada Blvd Siute F Ormond Beach FL 32174-5190
Phone: (386) 673-2266
Fax: (386) 676-2772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P0979 Florida

Profile Details

NPI number 1043206535
LBN Legal business name Mcdonough, Michael W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Jul 7th, 2008 - about 16 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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