Individual
DONALD EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1119 INTERLOCHEN BLVD, WINTER HAVEN, FL 33884-3707
(863) 289-6060
Mailing address
1119 INTERLOCHEN BLVD, WINTER HAVEN, FL 33884-3707
(863) 289-6060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0059921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057113000
—
FL
Enumeration date
06/10/2005
Last updated
03/19/2020
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