Individual
DR. DAVID J MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 MIRROR LAKE DR, STE A, ORMOND BEACH, FL 32174-3101
(386) 673-2500
(386) 673-3204
Mailing address
8 MIRROR LAKE DR, STE A, ORMOND BEACH, FL 32174-3101
(386) 673-2500
(386) 673-3204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0070742
FL
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
ME070742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250565700
—
FL
Enumeration date
07/19/2006
Last updated
09/27/2017
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