MEDICARE: DR. ROBERT B DONOWAY M.D.

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	2086X0206X	Surgical Oncology Physician	ME0058579	FL
2	208600000X	Surgery Physician	ME58579	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01601043	OTHER	FL	RR MEDICARE
11	020050089	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	002542	OTHER	FL	NEIGHBORHOOD HEALTH
3	4203517	OTHER	FL	AETNA
4	880534	OTHER	FL	UNITED
5	206671	OTHER	FL	AVMED
6	P300263	OTHER	FL	FREEDOM
7	11511	OTHER	FL	BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	11511	OTHER	FL	BLUE CROSS BLUE SHIELD
10	P971724	OTHER	FL	OPTIMUM
12	1286341	OTHER	FL	CIGNA
13	2542	OTHER	FL	DIMENSION
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760400030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT B DONOWAY M.D.

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:	ATTN: PAYER CONTRACTING & RELATIONS DEPT.
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1412
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	4000 HOLLYWOOD BLVD
Second Line	:	PRESIDENTIAL CIRCLE, SUITE 160 NORTH
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6751
Country	:	US
Telephone Number	:	954-986-6366
Fax Number	:	954-986-4355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	04/18/2016

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