Individual provider · Type 1 NPI

Rory Daniel McDonough, PA-C

Medical Physician Assistant · Fort Myers, FL

NPI number 1265615330 Active

Practice location

7331 Gladiolus Drive
Fort Myers, FL 33908

Fax (239) 437-8875

Mailing address

15051 S. Tamiami Trail, Suite 203
Fort Myers, FL 33908

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA 9104255 (FL)
Medical Physician Assistant Primary 363AM0700XPA9104255 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1265615330

Rory Daniel McDonough, PA-C's National Provider Identifier is 1265615330, issued on Dec 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Myers, FL. The record was last updated on Jul 10, 2015.