Organization
MCDONOUGH PODIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W MCDONOUGH DPM (PRESIDENT)
(386) 673-2266
Entity
Organization
Contact information
Practice address
595 W GRANADA BLVD, SUITE F, ORMOND BEACH, FL 32174-5190
(386) 673-2266
(386) 676-2772
Mailing address
595 W GRANADA BLVD, SUITE F, ORMOND BEACH, FL 32174-5190
(386) 673-2266
(386) 676-2772
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P0979
FL
Other
Enumeration date
12/13/2007
Last updated
09/15/2010
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