Healthcare Provider Details

I. General information

NPI: 1699227652
Provider Name (Legal Business Name): DAWN WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2016
Last Update Date: 10/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 NW 23RD AVE
GAINESVILLE FL
32609-3441
US

IV. Provider business mailing address

1120 NW 23RD AVE
GAINESVILLE FL
32609-3441
US

V. Phone/Fax

Practice location:
  • Phone: 352-792-6700
  • Fax: 352-792-6661
Mailing address:
  • Phone: 352-792-6700
  • Fax: 352-792-6661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberOS8986
License Number StateFL

VIII. Authorized Official

Name: DR. APRIL DAWN HURT
Title or Position: MANAGER
Credential: D.O.
Phone: 352-262-8970