Provider Demographics
NPI:1043298706
Name:TREESH, DONNA B (DO)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:B
Last Name:TREESH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:BELLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:13121 ATLANTIC BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32225-0102
Mailing Address - Country:US
Mailing Address - Phone:904-221-2232
Mailing Address - Fax:904-244-3455
Practice Address - Street 1:13121 ATLANTIC BLVD STE 100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32225-0102
Practice Address - Country:US
Practice Address - Phone:904-221-2232
Practice Address - Fax:904-244-3455
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS15104208D00000X, 2084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00422778OtherRAILROAD MEDICARE
FL292650400Medicaid
FL292650400Medicaid
U6812AMedicare PIN
P00422778OtherRAILROAD MEDICARE
FLBO759ZMedicare PIN