Healthcare Provider Details

I. General information

NPI: 1477616142
Provider Name (Legal Business Name): DONALD THORNTON DRUMMOND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 02/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 N CONGRESS AVE SUITE 107
WEST PALM BEACH FL
33407-3283
US

IV. Provider business mailing address

2151 N CONGRESS AVE SUITE 107
WEST PALM BEACH FL
33407-3283
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-2233
  • Fax: 561-840-9425
Mailing address:
  • Phone: 561-844-2233
  • Fax: 561-840-9425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME50557
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: