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Individual

PHILIP B. MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(863) 299-1155
(718) 226-8335
Mailing address
PO BOX 166474, MIAMI, FL 33116-6474
(877) 448-8675

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036138773
IL
2085R0202X
Diagnostic Radiology Physician
2011-00487
NC
2085R0202X
Diagnostic Radiology Physician
276593
NY
2085R0202X
Diagnostic Radiology Physician
A139065
CA
2085R0202X
Diagnostic Radiology Physician
MD2017-1066
NM
2085R0202X
Diagnostic Radiology Physician
MD456544
PA
2085R0202X
Diagnostic Radiology Physician
ME112464
FL
2085R0202X
Diagnostic Radiology Physician
Q6654
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112360700
FL
05
5917420
NC
Enumeration date
03/09/2009
Last updated
04/27/2026
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