| Doctor Name: | DOUGLAS M CHILDS |
| NPI Number: | 1831163740 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO 2841 |
| Business Practice Address: | 202 N Park Ave Suite 500 Apopka, FL - 327034148 |
| Business Phone Number: | 4074101234 |
| Business Fax Number: | 4074100149 |
| Mailing Address: | 3670 Mcguire Blvd, Suite 220 ORLANDO |
| State: | FL |
| Postal Code: | 328033071 |
| Phone Number: | 4074231234 |
| Fax Number: | 4075171040 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO 2841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |