Doctor Name: | DR. TERENCE D MCDONALD |
NPI Number: | 1023098415 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PO0002404 |
Business Practice Address: | 6405 N Federal Hwy Suite 405 Fort Lauderdale, FL - 333081412 |
Business Phone Number: | 9547715900 |
Business Fax Number: | 9547715959 |
Mailing Address: | 5430 Buchanan St, HOLLYWOOD |
State: | FL |
Postal Code: | 330215708 |
Phone Number: | 9547715900 |
Fax Number: | 9547715959 |
NPI Enumeration Date: | 01/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO0002404 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |