Individual
DONNA G IVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4346 S HOPKINS AVE, TITUSVILLE, FL 32780-6606
(321) 267-3787
(321) 267-3790
Mailing address
4346 S HOPKINS AVE, TITUSVILLE, FL 32780-6606
(321) 267-3787
(321) 267-3790
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME74650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272052300
—
FL
01
—
52106
BC/BS
FL
01
—
5815623
AETNA
FL
01
—
9727970
CIGNA
FL
Enumeration date
08/31/2006
Last updated
10/30/2009
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