Organization
A. GRANT MCDOUGALL, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED GRANT MCDOUGALL PH.D. (OWNER)
(352) 375-4440
Entity
Organization
Contact information
Practice address
5024 NW 27TH CT STE B, GAINESVILLE, FL 32606-6545
(352) 375-4440
Mailing address
PO BOX 357504, GAINESVILLE, FL 32635-7504
(352) 375-4440
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH5756
FL
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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