Individual
STEPHEN HUGH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1223 GATEWAY DR STE 2H, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 434-8881
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
OS6246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250736600
—
FL
Enumeration date
07/22/2005
Last updated
10/31/2018
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