Individual
DR. EDWARD MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1122 E SR 434, SUITE 1000, WINTER SPRINGS, FL 32708
(407) 327-5560
(407) 327-7873
Mailing address
1122 E SR 434, SUITE 1000, WINTER SPRINGS, FL 32708
(407) 327-5560
(407) 327-7873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K7973
MEDICARE GROUP ID
—
Enumeration date
08/31/2006
Last updated
02/04/2008
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