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NPI Code Detail

MEDICARE: BOBBILEE L MCDONALD PA-C

MEDICARE:   BOBBILEE L MCDONALD  PA-C
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
1363AS0400XSurgical Physician AssistantPA9103003FL

General Provider Information

NPI Number : 1558319095
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBILEE L MCDONALD PA-C
Provider Business Mailing Address
First Line : 1827 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-7605
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1827 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-7605
Country : US
Telephone Number : 850-785-4344
Fax Number : 850-505-3066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 02/06/2026

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Directions to “ BOBBILEE L MCDONALD PA-C” Practice Location

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