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1295041325

NPI Code Detail

MEDICARE: DONALD N PYLE II D.O.

MEDICARE: DONALD N PYLE II D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	0102204779	VA
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	OS11841	FL
3	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	C2-0010991	DE
4	2084P0800X	Psychiatry Physician	C2-0010991	DE
5	2084P0800X	Psychiatry Physician	0102204779	VA
6	2084P0800X	Psychiatry Physician	OS11841	FL

General Provider Information

NPI Number	:	1295041325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD N PYLE II D.O.

Provider Business Mailing Address
First Line	:	145 HERON BAY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-3595
Country	:	US
Telephone Number	:	904-470-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 HERON BAY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-3595
Country	:	US
Telephone Number	:	904-470-6900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	10/02/2024

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Directions to “ DONALD N PYLE II D.O.” Practice Location

Language	Start Address	Practice Location

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