Individual
CLARE DALTON DOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2165 HERSCHEL ST, JACKSONVILLE, FL 32204-3819
(904) 387-4030
Mailing address
2165 HERSCHEL ST, JACKSONVILLE, FL 32204-3819
(904) 387-4030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
36911
SC
207L00000X
Anesthesiology Physician
Primary
ME118903
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015385700
—
FL
05
—
369112
—
SC
Enumeration date
05/05/2010
Last updated
03/15/2016
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