Individual
JACQUELINE SUSAN O'DONOGHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 PENNSYLVANIA ST, ORLANDO, FL 32806-2937
(321) 843-3220
(321) 843-3210
Mailing address
86 W UNDERWOOD ST STE 202, ORLANDO, FL 32806-1110
(407) 649-6876
(407) 872-0544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME161222
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2020
Last updated
11/14/2024
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