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NPI Code Detail

MEDICARE: DR. DONALD EARLE COURTS M.D.

MEDICARE:  DR. DONALD EARLE COURTS  M.D.
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
1207QA0505XAdult Medicine PhysicianME 0065988FL

General Provider Information

NPI Number : 1730159302
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD EARLE COURTS M.D.
Provider Business Mailing Address
First Line : 9790 SR 20 WEST
Second Line :
City : YOUNGSTOWN
State : FL
Zip : 32466
Country : US
Telephone Number : 209-736-4850
Fax Number : 209-736-9660
Provider Business Practice Location Address
First Line : 9790 SR 20 WEST
Second Line :
City : YOUNGSTOWN
State : FL
Zip : 32466
Country : US
Telephone Number : 209-736-4850
Fax Number : 209-736-9660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DONALD EARLE COURTS M.D.” Practice Location

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