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MARTHA ROSE MCDONOUGH D.O.
NPI 1366413759
Family Medicine in Yulee, FL

Active since February 01, 2006
464016 STATE ROAD 200, YULEE, FL 32097(904) 261-3913 Get Directions Write a Review

NPPES record last updated: September 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martha Rose Mcdonough D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA ROSE MCDONOUGH D.O. (NPI 1366413759) is an individual family medicine provider in Yulee, Florida, licensed in Florida (OS0007968) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1366413759
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARTHA ROSE MCDONOUGHCredential: D.O.
Location Address464016 STATE ROAD 200Yulee, FL 32097-6339
Mailing Address86479 Meadowfield Bluffs RdYulee, FL 32097-8410 · (904) 225-1980 · Fax (904) 225-1981
Phone(904) 261-3913
Sole ProprietorNo
Enumeration DateFebruary 1, 2006
Last NPPES UpdateSeptember 21, 2007
✔ NPI 1366413759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS0007968
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
464016 STATE ROAD 200, Yulee, FL 32097
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Other Identifiers 2

Medicare PIN49155YFL
Medicare UPINE97425FL

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WAL-MART STORES EAST, LP
Eyewear Supplier
464016 STATE ROAD 200
YULEE, FL 32097
Nassau County (904) 261-9410
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
464016 STATE ROAD 200
YULEE, FL 32097
Nassau County (904) 261-9846
DR. AMY E. BECKHAM O.D.
Optometrist
464016 STATE ROAD 200, VISION CENTER
YULEE, FL 32097
Nassau County (904) 261-4425
DR. STEPHANIE L JOHNSON O.D.
Optometrist
464016 STATE ROAD 200
YULEE, FL 32097
Nassau County (904) 504-3953
HEWSTON VEREEN RPH
Pharmacist
464016 STATE ROAD 200
YULEE, FL 32097
Nassau County (561) 261-9846
JEFFREY PAUL BERTEAU
Pharmacist
464016 STATE ROAD 200
YULEE, FL 32097
Nassau County (904) 261-9846

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Mcdonough's NPI number?

The NPI number for Martha Mcdonough is 1366413759. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Martha Mcdonough located?

Martha Mcdonough practices at 464016 State Road 200, Yulee, FL 32097. The listed phone number is (904) 261-3913.

What is Martha Mcdonough's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Martha Mcdonough was last updated on September 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.