Individual
CARA ELIZABETH DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1881 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7567
(772) 398-7936
Mailing address
1881 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7567
(772) 398-7936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0071497
CO
207Q00000X
Family Medicine Physician
O-2008
ID
207Q00000X
Family Medicine Physician
Primary
OS23274
FL
207Q00000X
Family Medicine Physician
TL.0008874
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008874
CO
Other
Enumeration date
05/17/2021
Last updated
04/02/2026
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