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NPI Code Detail

MEDICARE: DENNIS J DONAHUE MD

MEDICARE: DENNIS J DONAHUE MD
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
1208800000XUrology PhysicianME36999FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2340004766OTHERMEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number : 1497787212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS J DONAHUE MD
Provider Business Mailing Address
First Line : 1812 N MILLS AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1834
Country : US
Telephone Number : 407-897-3499
Fax Number : 407-896-9454
Provider Business Practice Location Address
First Line : 1812 N MILLS AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1834
Country : US
Telephone Number : 407-897-3499
Fax Number : 407-896-9454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 12/23/2014

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Directions to “ DENNIS J DONAHUE MD” Practice Location

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