Individual
DOUGLAS JOSEPH MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-7000
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME141849
FL
208000000X
Pediatrics Physician
ME141849
FL
208M00000X
Hospitalist Physician
Primary
ME141849
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104089200
—
FL
01
—
K4CMV
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/30/2015
Last updated
03/31/2021
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