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Individual

DR. DOUGLAS JAMES KOVATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 2ND ST E, BRADENTON, FL 34208-1029
(941) 708-8152
(941) 708-8136
Mailing address
PO BOX 637801, CINCINNATI, OH 45263-7801
(775) 356-9393
(775) 356-5590

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2006-01354
NC
2084P0800X
Psychiatry Physician
Primary
ME116012
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008712400
FL
Enumeration date
10/04/2006
Last updated
04/17/2014
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