Individual
DR. JEREMIAH PAUL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
6451 N FEDERAL HWY STE 800, FT LAUDERDALE, FL 33308-1409
(800) 586-5022
(866) 889-7835
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
13130
ND
207RG0100X
Gastroenterology Physician
G150240
CA
207RG0100X
Gastroenterology Physician
Primary
MD24904
ME
207RG0100X
Gastroenterology Physician
MD60692631
WA
207RG0100X
Gastroenterology Physician
ME95167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15201
—
ND
01
—
37233
BCBS
FL
Enumeration date
11/30/2005
Last updated
03/27/2023
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