Individual
DONALD VINCENT CARDWELL JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805
(863) 680-7000
(863) 680-7420
Mailing address
PO BOX 95004, LAKELAND, FL 33804
(863) 680-7206
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA3619
FL
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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