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Contact Information

DONALD S MCCORQUODALE III, MD/PHD
211 CORAL SANDS DR STE B
ROCKLEDGE, FL32955-2749
 Phone: 321-345-6331
 Fax: 321-345-3295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DONALD S MCCORQUODALE III · (Male)

NPI # 1285976332
Status Active
Credentials MD/PHD
Entity Individual
Enumeration date 03/26/2013
Last updated 09/01/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME135837
Hospital affiliation(s)
  • CAPE CANAVERAL HOSPITAL - (Acute Care)
    701 W COCOA BEACH CAUSEWAY
    COCOA BEACH, FL 32932
  • PARRISH MEDICAL CENTER - (Acute Care)
    951 N WASHINGTON AVE
    TITUSVILLE, FL 32796
  • VIERA HOSPITAL - (Acute Care)
    8745 N WICKHAM RD
    MELBOURNE, FL 32940
  • WUESTHOFF MEDICAL CENTER ROCKLEDGE - (Acute Care)
    110 LONGWOOD AVE
    ROCKLEDGE, FL 32955
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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