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NPI Code Detail

MEDICARE: DIXIE TURNER P.A.-C

MEDICARE:   DIXIE  TURNER  P.A.-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA15410CA
2363AM0700XMedical Physician AssistantPA9104128FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598775298
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIXIE TURNER P.A.-C
Provider Business Mailing Address
First Line : 430 COLLEGE DR
Second Line : SUITE 100-102
City : MIDDLEBURG
State : FL
Zip : 32068-8530
Country : US
Telephone Number : 904-298-1994
Fax Number : 904-298-1973
Provider Business Practice Location Address
First Line : 10175 FORTUNE PKWY
Second Line : SUITE 401
City : JACKSONVILLE
State : FL
Zip : 32256-6746
Country : US
Telephone Number : 904-519-0008
Fax Number : 904-519-0007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 11/18/2009

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Directions to “ DIXIE TURNER P.A.-C” Practice Location

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