Individual
DR. PETER SAMO DOVGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 751-2707
(321) 255-2361
Mailing address
655 S APOLLO BLVD, MELBOURNE, FL 32901-1485
(321) 751-2707
(321) 255-2361
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME79594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256748200
—
FL
01
—
46900
BCBS
FL
Enumeration date
08/31/2006
Last updated
09/22/2022
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