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NPI Code Detail

MEDICARE: MARIANA DOVAL M.D.

MEDICARE: MARIANA DOVAL 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician036175455IL
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME72281FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00380841OTHERRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1770566143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA DOVAL M.D.
Provider Business Mailing Address
First Line : 2030 W MCNAB RD
Second Line : # 2
City : FT LAUDERDALE
State : FL
Zip : 33309-1002
Country : US
Telephone Number : 561-633-1000
Fax Number : 561-633-1024
Provider Business Practice Location Address
First Line : 10101 FOREST HILL BLVD
Second Line : PATHOLOGY DEPT.
City : WELLINGTON
State : FL
Zip : 33414-6103
Country : US
Telephone Number : 561-798-8559
Fax Number : 561-798-8645
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 07/25/2025

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