Individual
ANDREA M MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2000 EDGEWOOD AVENUE, LEESBURG, FL 34748
(352) 787-3545
Mailing address
1730 E HWY 50, PMB 4, CLERMONT, FL 34711-2778
(352) 563-8140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1749192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305309100
—
FL
Enumeration date
11/27/2006
Last updated
08/08/2011
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