Individual
DENNIS JOSEPH MCDONAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 N LEE ST, STE 101, JACKSONVILLE, FL 32257
(904) 549-8228
(904) 549-8230
Mailing address
2636 FOREST CIRCLE, JACKSONVILLE, FL 32257
(904) 549-8228
(904) 549-8230
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0039836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08658
WELLCARE MEDICARE
FL
01
—
15688
BLUE CROSS BLUE SHIELD
FL
01
—
1870729005
CIGNA
FL
01
—
210079
AVMED
FL
01
—
5082045
AETNA
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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