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
Fax: (352) 732-6282
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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