| NPI | 1982792073 |
|---|---|
| Former Legal Business Name | GARY D MCDONALD OD PA |
| Entity Type | Organization |
| Authorized Contact | PHUNG M HO Pres 407-366-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-11-11 |