Mcdonough, Owen Edmond

Mcdonough, Owen Edmond is an individual health care provider with primary practice located at 9826 San Jose Blvd , Jacksonville FL 32257-5438. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcdonough, Owen Edmond can be contacted via phone (904) 262-9444.

Contact Information

Primary practice address
9826 San Jose Blvd Jacksonville FL 32257-5438
Fax: (904) 292-2285
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103012 Florida

Profile Details

NPI number 1316919236
LBN Legal business name Mcdonough, Owen Edmond
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 30th, 2010 - 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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