Organization
DONALD RALPH TODD MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD RALPH TODD M.D. (OWNER)
(850) 479-0708
Entity
Organization
Contact information
Practice address
5147 N 9TH AVE STE 325C, PENSACOLA, FL 32504-8770
(850) 479-0708
(850) 434-0013
Mailing address
PO BOX 447, GULF BREEZE, FL 32562-0447
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17246
FLORIDA BLUE
FL
Enumeration date
05/28/2014
Last updated
05/28/2014
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