Individual
ELIZABETH A. MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1015 CROSSPOINTE DRIVE, NAPLES, FL 34110-0930
(239) 596-9075
(239) 596-9076
Mailing address
15051 S. TAMIAMI TRAIL, SUITE 203, FORT MYERS, FL 33908
(239) 437-8810
(239) 313-2555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103756
FL
Other
Enumeration date
08/30/2006
Last updated
06/25/2015
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