Individual
PATTI DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6706 16TH AVE E, PALMETTO, FL 34221-9050
(727) 580-5176
Mailing address
6706 16TH AVE E, PALMETTO, FL 34221-9050
(727) 580-5176
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME 79926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258556100
—
FL
01
—
49816
BLUE CROSS / BLUE SHIELD
FL
Enumeration date
11/15/2005
Last updated
09/23/2015
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