Healthcare Provider Details

I. General information

NPI: 1265530265
Provider Name (Legal Business Name): MICHAEL E DONOHOE CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 10/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 SW 34TH ST
OCALA FL
34474-7439
US

IV. Provider business mailing address

401 COMMERCE ST SUITE 600
NASHVILLE TN
37219-2446
US

V. Phone/Fax

Practice location:
  • Phone: 352-867-8898
  • Fax: 352-732-6282
Mailing address:
  • Phone: 615-760-6588
  • Fax: 615-691-7512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP1910652
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: