Organization
MD PATH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANA DOVAL M.D. (PRESIDENT)
(561) 842-6141
Entity
Organization
Contact information
Practice address
2201 45TH ST, WEST PALM BEACH, FL 33407-2047
(561) 842-6141
(561) 845-6272
Mailing address
PO BOX 144333, ORLANDO, FL 32814-4333
(407) 422-9831
(407) 648-2065
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF6343
RAILROAD MEDICARE
—
Enumeration date
05/26/2006
Last updated
08/07/2007
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