MEDICARE: TANISHA DEL CARMEN DAWKINS APRN

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
1	363LF0000X	Family Nurse Practitioner	11010010	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA	OTHER		NA

General Provider Information

NPI Number	:	1790380301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANISHA DEL CARMEN DAWKINS APRN

Provider Business Mailing Address
First Line	:	14601 SW 29TH ST STE 209
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4715
Country	:	US
Telephone Number	:	954-436-8036
Fax Number	:	954-217-4006

Provider Business Practice Location Address
First Line	:	14601 SW 29TH ST STE 209
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4715
Country	:	US
Telephone Number	:	954-436-8036
Fax Number	:	954-217-4006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	12/21/2023

Similar Medicare Providers

1104586130 — SOUTH CARE HOME HEALTH CORP.
Practice Location Address:

14601 SW 29TH ST STE 107
MIRAMAR, FL
33027-4715

Practice Phone: 786-557-4577
Practice Fax: 786-613-4664

1053559088 — ANGELS SERVICES, CORP.
Practice Location Address:

14601 SW 29TH ST STE 112
MIRAMAR, FL
33027-4715

Practice Phone: 954-634-3636
Practice Fax: 954-634-3637

1841539897 — GOLDEN MIRACLE INC
Practice Location Address:

14601 SW 29TH ST STE 110
MIRAMAR, FL
33027-4715

Practice Phone: 954-862-2236
Practice Fax: 954-944-0822

1982038444 — DR. BIARDA VILLAVERDE M.D.
Practice Location Address:

14601 SW 29TH ST STE 109
MIRAMAR, FL
33027-4715

Practice Phone: 954-800-1991
Practice Fax: 808-731-8348

1790246148 — SOUTH FLORIDA SPORTS AND PREVENTIVE MEDICINE INC
Practice Location Address:

14601 SW 29TH ST STE 109
MIRAMAR, FL
33027-4715

Practice Phone: 954-800-1991
Practice Fax: 808-731-8348

1558984971 — NEW IDENTITY WELLNESS CENTER LLC
Practice Location Address:

14601 SW 29TH ST STE 107
MIRAMAR, FL
33027-4715

Practice Phone: 786-804-9405
Practice Fax:

Directions to “ TANISHA DEL CARMEN DAWKINS APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.