MEDICARE: DRS. DOLGIN, DONNELLY, DAVIS & ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME0060810	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346272820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. DOLGIN, DONNELLY, DAVIS & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	4714 N ARMENIA AVE
Second Line	:	SUITE 200
City	:	TAMPA
State	:	FL
Zip	:	33603-2603
Country	:	US
Telephone Number	:	813-872-8794
Fax Number	:	813-879-1652

Provider Business Practice Location Address
First Line	:	4714 N ARMENIA AVE
Second Line	:	SUITE 200
City	:	TAMPA
State	:	FL
Zip	:	33603-2603
Country	:	US
Telephone Number	:	813-872-8794
Fax Number	:	813-879-1652

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SANFORD R DOLGIN
Credential	:	M.D.
Telephone Number	:	813-872-8794

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	10/10/2014

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Directions to “DRS. DOLGIN, DONNELLY, DAVIS & ASSOCIATES PA ” Practice Location

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