Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark C. Donnelly, DO

Individual provider Family Medicine Physician · NPI 1013394576

Mr. Mark C. Donnelly, DO is a Family Practice in Valrico, Florida. Qualified in 2015, 11 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Nevada.

Years since qualifying
11
Licensed in
FL, NV
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2211 Lithia Center Ln
Valrico, FL 33596-5676
Phone: (813) 660-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS19518 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO2397 (NV)

Record details

NPI number1013394576
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 4, 2015
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing addressPo Box 1289, Tampa, FL 33601-1289

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Valrico