Organization
DARIA P. MCDONOUGH, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARIA P. MCDONOUGH DPM (OWNER)
(386) 672-9932
Entity
Organization
Contact information
Practice address
284 N HALIFAX DR, ORMOND BEACH, FL 32176-5765
(386) 672-9932
(386) 672-4201
Mailing address
PO BOX 4211, ORMOND BEACH, FL 32175-4211
(386) 672-9932
(386) 672-4201
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340437400
—
FL
Enumeration date
11/14/2014
Last updated
11/14/2014
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