Organization
DENNIS J. MCDONAGH, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MCDONAGH M.D., P.A. (PHYSICIAN)
(904) 549-8228
Entity
Organization
Contact information
Practice address
425 N LEE ST, SUITE 101, JACKSONVILLE, FL 32204-1127
(904) 549-8228
Mailing address
2636 FOREST CIR, JACKSONVILLE, FL 32257-5612
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0039836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15688A
BCBS PROVIDER NUMBER
—
01
—
1870729005
CIGNA PROVIDER NUMBER
—
01
—
210079
AVMED PROVIDER NUMBER
—
01
—
3122189
AETNA HMO PROVIDER NUMBER
—
01
—
5082045
AETNA PROVIDER NUMBER
—
Enumeration date
03/23/2006
Last updated
08/22/2020
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