Individual
DR. DONALD SINCLAIR MCCORQUODALE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
211 CORAL SANDS DR STE B, ROCKLEDGE, FL 32955-2749
(321) 345-6331
(321) 345-3295
Mailing address
211 CORAL SANDS DR STE B, ROCKLEDGE, FL 32955-2749
(321) 345-6331
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
ME135837
FL
2084N0400X
Neurology Physician
Primary
ME135837
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2013
Last updated
09/01/2020
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