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Organization

DENNIS J. MCDONAGH, M.D., P.A.

Active
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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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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