Provider Demographics
NPI:1457478836
Name:DOLORES A. LOVELESS MD, PA
Entity Type:Organization
Organization Name:DOLORES A. LOVELESS MD, PA
Other - Org Name:CAREPOINT OCCUPATIONAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:PREACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-737-7173
Mailing Address - Street 1:4933-1 UNIVERSITY BLVD W
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-5935
Mailing Address - Country:US
Mailing Address - Phone:904-737-7173
Mailing Address - Fax:904-737-4770
Practice Address - Street 1:4933-1 UNIVERSITY BLVD W
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-5935
Practice Address - Country:US
Practice Address - Phone:904-737-7173
Practice Address - Fax:904-737-4770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME65190261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center