Provider Demographics
NPI:1144403437
Name:CAWOOD, DONALD (LMT,SET)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:CAWOOD
Suffix:
Gender:M
Credentials:LMT,SET
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:FL
Mailing Address - Zip Code:33527-5029
Mailing Address - Country:US
Mailing Address - Phone:813-390-1106
Mailing Address - Fax:813-659-1192
Practice Address - Street 1:5304 DOWNING ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:FL
Practice Address - Zip Code:33527-5029
Practice Address - Country:US
Practice Address - Phone:813-390-1106
Practice Address - Fax:813-659-1192
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 42579225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist