Individual
DR. PAUL A. DOWDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
105 PARK PLACE BLVD, SUITE A, DAVENPORT, FL 33837-6858
(863) 421-7411
(863) 547-9514
Mailing address
105 PARK PLACE BLVD, SUITE A, DAVENPORT, FL 33837-6858
(863) 421-7411
(863) 547-9514
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 72924
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME 72924
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME 72924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200041017
RAILROAD MEDICARE
—
05
—
252802900
—
FL
01
—
45061
BCBS PROVIDER #
—
Enumeration date
01/23/2006
Last updated
10/28/2020
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