MARK C. DONNELLY

VALRICO, FL
NPI1013394576
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS19518)
Additional Taxonomies207Q00000X Family Medicine
(Licence: NV  DO2397)
Enumeration Date2015-05-04
Last Update Date2023-03-09
Business Address
Mr. MARK C. DONNELLY D.O.
2211 LITHIA CENTER LN
VALRICO, FL 33596-5676
Phone number: 813-660-7100
Mailing Address
Mr. MARK C. DONNELLY D.O.
PO BOX 1289
TAMPA, FL 33601-1289
Phone number: 813-660-7100