Healthcare Provider Details

I. General information

NPI: 1891979241
Provider Name (Legal Business Name): JOHN C DUNLOP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SW 62ND AVE DEPARTMENT OF EMERGENCY MEDICINE
MIAMI FL
33155-3009
US

IV. Provider business mailing address

3100 SW 62ND AVE DEPARTMENT OF EMERGENCY MEDICINE
MIAMI FL
33155-3009
US

V. Phone/Fax

Practice location:
  • Phone: 786-624-3588
  • Fax: 305-662-8291
Mailing address:
  • Phone: 786-624-3741
  • Fax: 305-662-8291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number245919
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberME111500
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: