Healthcare Provider Details

I. General information

NPI: 1093198871
Provider Name (Legal Business Name): EDWARD HUNTER DAWKINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 LIELMANIS AVE
HURLBURT FIELD FL
32544-5613
US

IV. Provider business mailing address

48 MDG / RAF LAKENHEATH UNIT 5115
APO AE
09461
US

V. Phone/Fax

Practice location:
  • Phone: 850-881-2337
  • Fax:
Mailing address:
  • Phone: 314-238-2183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number29799
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: