Individual
GRACE DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891
Mailing address
5130 SUNFOREST DR STE 300, TAMPA, FL 33634-6327
(727) 824-0780
(813) 514-8891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME117608
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015116400
—
FL
01
—
RI624
FLORIDA BLUE
FL
Enumeration date
06/06/2012
Last updated
09/15/2021
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