Individual
DR. DONALD ANTHONY CONETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP CARDIOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-2060
(904) 244-3102
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME26471
FL
207RC0000X
Cardiovascular Disease Physician
060060
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME26471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000135726B
—
GA
05
—
000135726C
—
GA
05
—
0586137-00
—
FL
Enumeration date
02/23/2006
Last updated
02/17/2009
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