Individual
HEATHER ELIZABETH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
89 W COPELAND DR FL 2, ORLANDO, FL 32806-2028
(407) 237-6319
(407) 843-8505
Mailing address
89 W COPELAND DR FL 2, ORLANDO, FL 32806-2028
(407) 237-6319
(407) 843-8505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000261700
—
FL
Enumeration date
11/06/2008
Last updated
03/26/2010
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