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NPI Code Detail

MEDICARE: DR. DONNA B TREESH D.O.

MEDICARE: DR. DONNA B TREESH D.O.
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
1208D00000XGeneral Practice PhysicianOS15104FL
22084B0040XBehavioral Neurology & Neuropsychiatry PhysicianOS15104FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00422778OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043298706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA B TREESH D.O.
Provider Business Mailing Address
First Line : 13121 ATLANTIC BLVD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-0102
Country : US
Telephone Number : 904-221-2232
Fax Number : 904-244-3455
Provider Business Practice Location Address
First Line : 13121 ATLANTIC BLVD STE 100
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32225-0102
Country : US
Telephone Number : 904-221-2232
Fax Number : 904-244-3455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 04/17/2024

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Directions to “ DR. DONNA B TREESH D.O.” Practice Location

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