Individual
MARIANA DOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10101 FOREST HILL BLVD, PATHOLOGY DEPT., WELLINGTON, FL 33414-6103
(561) 798-8559
(561) 798-8645
Mailing address
2030 W MCNAB RD, # 2, FT LAUDERDALE, FL 33309-1002
(561) 633-1000
(561) 633-1024
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036175455
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME72281
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254170000
—
FL
01
—
P00380841
RAILROAD MEDICARE
—
Enumeration date
11/21/2005
Last updated
07/25/2025
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