MEDICARE: DR. LOUIS F DONAGHUE M.D.

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	ME14370	FL

General Provider Information

NPI Number	:	1831143593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS F DONAGHUE M.D.

Provider Business Mailing Address
First Line	:	4801 S CONGRESS AVE
Second Line	:	SUITE 301
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4746
Country	:	US
Telephone Number	:	561-967-6500
Fax Number	:	561-063-5600

Provider Business Practice Location Address
First Line	:	4801 S CONGRESS AVE
Second Line	:	SUITE 301
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4746
Country	:	US
Telephone Number	:	561-967-6500
Fax Number	:	561-963-5600

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	07/08/2007

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