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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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DAVOLI, MICHAEL JAMES II       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 3750 NE 30 AVE
LIGHTHOUSE POINT FL 33064

Address last updated on 11/4/2024
Phone #: (405) 401-5898
Fax #:
County: NOT OKLAHOMA
License: 23194
Dated: 1/16/2003
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 6 / 1977
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
First Health
Focus Healthcare
Galaxy Health Network
Global Health HMO
Great West Healthcare
Guidestar Health Systems
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
National Preferred Provider Network (NPPN)
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Perfect Harmony HMO
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Pronet
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Sparks Premiercare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Welcor/Sooner
Worknet of Oklahoma
Hospital Privileges: None listed
Locations: Hours: Languages:
3750 NE 30 AVE
LIGHTHOUSE POINT FL 33064

Phone #: (405) 401-5898
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: CONSULT WORK ONLY

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