Individual
DR. OLIVER MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-9149
Mailing address
1400 NW 12TH AVE, MIAMI, FL 33136-1003
(305) 243-3734
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
MD49161
TN
207ZP0101X
Anatomic Pathology Physician
Primary
ME147832
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
22145
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D74236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056112600
—
MD
Enumeration date
06/04/2007
Last updated
12/16/2020
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