Healthcare Provider Details

I. General information

NPI: 1124263496
Provider Name (Legal Business Name): DONALD JOHN CONNER JR. ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 12/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 NW 2ND ST
OCALA FL
34475-6234
US

IV. Provider business mailing address

2650 NW 2ND ST
OCALA FL
34475-6234
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-5400
  • Fax: 866-423-8644
Mailing address:
  • Phone: 352-237-5400
  • Fax: 866-423-8644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP2743282
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP2743282
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: