Whalio Doctors

NPI 1013018837

Richard Thomas Donovan, PAC

Practitioner Medical Physician Assistant Tallahassee, FL

Practice location

Address
2907 Kerry Forest Pkwy, Tallahassee, FL 32309-6825
Phone
(850) 668-3380
Fax
(850) 668-3226

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA 2034 (FL)

Registry record

NPI
1013018837
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Sep 2006
Record last updated
5 May 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.