| Doctor Name: | RICHARD THOMAS DONOVAN |
| NPI Number: | 1013018837 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A.-C |
| License Number: | PA 2034 |
| Business Practice Address: | 2907 Kerry Forest Pkwy Tallahassee, FL - 323096825 |
| Business Phone Number: | 8506683380 |
| Business Fax Number: | 8506683226 |
| Mailing Address: | 2907 Kerry Forest Pkwy, TALLAHASSEE |
| State: | FL |
| Postal Code: | 323096825 |
| Phone Number: | 8506683380 |
| Fax Number: | 8506683226 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA 2034 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |