MEDICARE: DONALD F TEMPLE MD

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	174400000X	Specialist	ME39406	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770571747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD F TEMPLE MD

Provider Business Mailing Address
First Line	:	508 W MARTIN LUTHER KING BLVD
Second Line	:	STE A
City	:	TAMPA
State	:	FL
Zip	:	33603-3415
Country	:	US
Telephone Number	:	813-229-1924
Fax Number	:	813-229-3503

Provider Business Practice Location Address
First Line	:	508 W MARTIN LUTHER KING BLVD
Second Line	:	STE A
City	:	TAMPA
State	:	FL
Zip	:	33603-3415
Country	:	US
Telephone Number	:	813-229-1924
Fax Number	:	813-229-3503

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	09/16/2013

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Directions to “ DONALD F TEMPLE MD” Practice Location

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