OWEN EDMOND MCDONOUGH

JACKSONVILLE, FL
NPI1316919236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9103012)
Enumeration Date2006-02-03
Last Update Date2010-11-30
Business Address
Mr. OWEN EDMOND MCDONOUGH PA
9826 SAN JOSE BLVD
JACKSONVILLE, FL 32257-5438
Phone number: 904-262-9444
Mailing Address
Mr. OWEN EDMOND MCDONOUGH PA
2908 CIRCLE RIDGE DR
ORANGE PARK, FL 32065-5760
Phone number: 904-993-7726