Dovgan, Peter Samo
Dovgan, Peter Samo is an individual health care provider with primary practice located at 655 S Apollo Blvd , Melbourne FL 32901-1485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Dovgan, Peter Samo can be contacted via phone (321) 751-2707.Contact Information
Primary practice address
655 S Apollo Blvd
Melbourne FL 32901-1485
Phone: (321) 751-2707
Fax: (321) 255-2361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME79594 | Florida |
Profile Details
| NPI number | 1396857611 |
|---|---|
| LBN Legal business name | Dovgan, Peter Samo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396857611 | NPPES |
| Florida | MEDICAID | 256748200 | |
| Florida | Other | 46900 |
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