Organization
PETER A DONELAN MD PA
Active
Organization
PETER A DONELAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A DONELAN MD PA (OWNER)
(813) 972-1229
Entity
Organization
Contact information
Practice address
3000 E FLETCHER AVE, SUITE 200, TAMPA, FL 33613-4656
(813) 972-1229
(813) 972-1889
Mailing address
3000 E FLETCHER AVE, SUITE 200, TAMPA, FL 33613-4656
(813) 972-1229
(813) 972-1889
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME0035372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070007283
MEDICARE/RAILROAD
FL
Enumeration date
10/29/2007
Last updated
03/22/2016
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