Doviak, Richard James
Doviak, Richard James is an individual health care provider with primary practice located at 3340 Lakeland Hills Blvd , Lakeland FL 33805-1974. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Doviak, Richard James can be contacted via phone (352) 867-8898.Contact Information
Primary practice address
3340 Lakeland Hills Blvd
Lakeland FL 33805-1974
Phone: (352) 867-8898
Fax: (352) 732-6282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME80523 | Florida |
Profile Details
| NPI number | 1811993777 |
|---|---|
| LBN Legal business name | Doviak, Richard James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Apr 27th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811993777 | NPPES |
| Florida | Other | 03817 | BCBS ID # |
| Florida | MEDICAID | 265543800 | BCBS ID # |
| Florida | Other | 2939612 | BCBS ID # |
| Florida | MEDICAID | 111964 | BCBS ID # |
| Florida | MEDICAID | N204684 | BCBS ID # |
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