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Individual

JOHN DONOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 PLANTATION CLUB DR APT 1012, MELBOURNE, FL 32940-1932
(321) 752-6103
Mailing address
201 PLANTATION CLUB DR APT 1012, MELBOURNE, FL 32940-1932

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
46890
FL

Other

Enumeration date
03/28/2007
Last updated
07/08/2007
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