Individual
DR. MICHAEL DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 BARRS ST, JACKSONVILLE, FL 32204-4704
(904) 388-1562
(904) 388-1841
Mailing address
PO BOX 161180, ALTAMONTE SPRINGS, FL 32716-1180
(904) 388-6949
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0049431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000433342A
—
GA
05
—
061619200
—
FL
01
—
300017436
RR MEDICARE
FL
Enumeration date
05/09/2006
Last updated
08/21/2023
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