Provider Demographics
NPI:1760400030
Name:DONOWAY, ROBERT B (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:B
Last Name:DONOWAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:4000 HOLLYWOOD BLVD
Practice Address - Street 2:PRESIDENTIAL CIRCLE, SUITE 160 NORTH
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6751
Practice Address - Country:US
Practice Address - Phone:954-986-6366
Practice Address - Fax:954-986-4355
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME00585792086X0206X
FLME58579208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01601043OtherRR MEDICARE
FL002542OtherNEIGHBORHOOD HEALTH
FL4203517OtherAETNA
FL880534OtherUNITED
FL206671OtherAVMED
FLP300263OtherFREEDOM
FL11511OtherBCBS
FL054214800Medicaid
FL11511OtherBLUE CROSS BLUE SHIELD
FLP971724OtherOPTIMUM
FL020050089OtherRAILROAD MEDICARE
FL1286341OtherCIGNA
FL2542OtherDIMENSION
FL11511SMedicare PIN
FL002542OtherNEIGHBORHOOD HEALTH
FL1286341OtherCIGNA
FLE66374Medicare UPIN