Individual
IAN DAVID MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP-C
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(850) 877-5636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9342226
FL
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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