Individual
MICHAEL W MCDONOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
595 W GRANADA BLVD, SIUTE F, ORMOND BEACH, FL 32174-5190
(386) 673-2266
(386) 676-2772
Mailing address
595 W GRANADA BLVD, SIUTE F, ORMOND BEACH, FL 32174-5190
(386) 673-2266
(386) 676-2772
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P0979
FL
Other
Enumeration date
09/21/2005
Last updated
07/07/2008
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