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Individual

DAVID M DONAHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1790 E VENICE AVE, SUITE 204, VENICE, FL 34292-3191
(941) 488-8884
(941) 488-5554
Mailing address
1790 E VENICE AVE, SUITE 204, VENICE, FL 34292-3191
(941) 488-8884
(941) 488-5554

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS8175
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2056243
CIGNA
FL
01
258932-000
MAGELLAN
FL
01
35964
BCBS FLORIDA
FL
01
7341763
GHI-VALUEOPTIONS
FL
05
760461100
FL
01
7740210
AETNA
FL
01
P00068868
RAILROAD MEDICARE
FL
Enumeration date
09/23/2005
Last updated
09/22/2022
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