Individual
DR. DOUGLAS MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 500, TAMPA, FL 33607-6000
(813) 769-4875
(813) 377-1692
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0071029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250906700
—
FL
Enumeration date
06/26/2006
Last updated
08/18/2022
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