Healthcare Provider Details

I. General information

NPI: 1720948292
Provider Name (Legal Business Name): ELIZABETH DUNN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 MOWRY RD STE 3211
GAINESVILLE FL
32610-3010
US

IV. Provider business mailing address

2004 MOWRY RD STE 3211
GAINESVILLE FL
32610-3010
US

V. Phone/Fax

Practice location:
  • Phone: 352-294-5797
  • Fax:
Mailing address:
  • Phone: 352-294-5797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberRN9304440
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: