Organization
GLOBAL ANESTHESIA SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD DOVIAK MD (MD)
(352) 867-8898
Entity
Organization
Contact information
Practice address
3340 LAKELAND HILLS BLVD, LAKELAND, FL 33805-1974
(352) 867-8898
(352) 732-6282
Mailing address
PO BOX 91713, LAKELAND, FL 33804-1713
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03817
BLUE CROSS BLUE SHIELD
FL
05
—
265543800
—
FL
01
—
ME80523
DR DOVIAK STATE LICENSE
FL
Enumeration date
06/15/2007
Last updated
05/28/2010
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