Provider Demographics
NPI:1730159302
Name:COURTS, DONALD EARLE (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EARLE
Last Name:COURTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9790 SR 20 WEST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:FL
Mailing Address - Zip Code:32466
Mailing Address - Country:US
Mailing Address - Phone:209-736-4850
Mailing Address - Fax:209-736-9660
Practice Address - Street 1:9790 SR 20 WEST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:FL
Practice Address - Zip Code:32466
Practice Address - Country:US
Practice Address - Phone:209-736-4850
Practice Address - Fax:209-736-9660
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0065988207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine