Healthcare Provider Details

I. General information

NPI: 1770681090
Provider Name (Legal Business Name): MICHAEL E DONOHOE CRNA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 04/20/2008
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

PO BOX 863236
ORLANDO FL
32886-3236
US

V. Phone/Fax

Practice location:
  • Phone: 352-867-8898
  • Fax: 352-732-6282
Mailing address:
  • Phone: 352-867-8898
  • Fax: 352-732-6282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MICHAEL DONOHOE
Title or Position: MD/PRESIDENT
Credential: CRNA
Phone: 352-867-8898