Provider Demographics
NPI:1982797056
Name:MCDONALD, ALFONSO C (CHE, PL)
Entity Type:Individual
Prefix:MR
First Name:ALFONSO
Middle Name:C
Last Name:MCDONALD
Suffix:
Gender:M
Credentials:CHE, PL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3388 LANDTREE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-5959
Mailing Address - Country:US
Mailing Address - Phone:352-978-0652
Mailing Address - Fax:407-381-5657
Practice Address - Street 1:3388 LANDTREE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-5959
Practice Address - Country:US
Practice Address - Phone:352-978-0652
Practice Address - Fax:407-381-5657
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246R00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Pathology