Individual
DR. RICHARD JAMES DOVIAK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207L00000X
Anesthesiology Physician
Primary
ME80523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03817
BCBS ID #
FL
05
—
111964
—
FL
05
—
265543800
—
FL
01
—
2939612
AETNA INS. ID#
FL
05
—
N204684
—
FL
Enumeration date
06/24/2005
Last updated
04/27/2009
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