Individual
RORY DANIEL MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7331 GLADIOLUS DRIVE, FORT MYERS, FL 33908
(239) 437-8810
(239) 437-8875
Mailing address
15051 S. TAMIAMI TRAIL, SUITE 203, FORT MYERS, FL 33908
(239) 437-8810
(239) 313-2555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104255
FL
363AS0400X
Surgical Physician Assistant
PA 9104255
FL
Other
Enumeration date
12/12/2007
Last updated
07/10/2015
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