MEDICARE: DR. DONALD SINCLAIR MCCORQUODALE III MD/PHD

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
1	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	ME135837	FL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084N0400X	Neurology Physician	ME135837	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1285976332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD SINCLAIR MCCORQUODALE III MD/PHD

Provider Business Mailing Address
First Line	:	211 CORAL SANDS DR STE B
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-2749
Country	:	US
Telephone Number	:	321-345-6331
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 CORAL SANDS DR STE B
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-2749
Country	:	US
Telephone Number	:	321-345-6331
Fax Number	:	321-345-3295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2013
Last Update Date	:	09/01/2020

Similar Medicare Providers

1205899820 — SHAWNNA LEE PATTERSON M.D., PH.D.
Practice Location Address:

211 CORAL SANDS DR STE B
ROCKLEDGE, FL
32955-2749

Practice Phone: 321-345-6331
Practice Fax: 213-453-2953

1386752418 — WASFI A MAKAR MD
Practice Location Address:

211 CORAL SANDS DR
ROCKLEDGE, FL
32955-2749

Practice Phone: 321-632-3400
Practice Fax: 321-632-1766

1639287709 — AMERICAN CANCER TREATMENT CENTER
Practice Location Address:

211 CORAL SANDS DR
ROCKLEDGE, FL
32955-2749

Practice Phone: 321-632-3400
Practice Fax: 321-632-1766

1851577415 — DZUY LE MD LLC
Practice Location Address:

211 CORAL SANDS DR , SUITE B
ROCKLEDGE, FL
32955-2749

Practice Phone: 321-690-0709
Practice Fax: 321-690-0976

1780986778 — AMERICAN CANCER CONSULTANTS, P.A.
Practice Location Address:

211 CORAL SANDS DR
ROCKLEDGE, FL
32955-2749

Practice Phone: 321-632-3400
Practice Fax: 321-632-1766

1629415724 — KNIGHT NEUROLOGY LLC
Practice Location Address:

211 CORAL SANDS DR STE B
ROCKLEDGE, FL
32955-2749

Practice Phone: 321-345-6331
Practice Fax: 321-345-3295

Directions to “ DR. DONALD SINCLAIR MCCORQUODALE III MD/PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.