Healthcare Provider Details

I. General information

NPI: 1295649150
Provider Name (Legal Business Name): BRIAN CRAIG DOBKIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3522 E KALEY AVE
ORLANDO FL
32806-3431
US

IV. Provider business mailing address

3522 E KALEY AVE
ORLANDO FL
32806-3431
US

V. Phone/Fax

Practice location:
  • Phone: 727-235-1696
  • Fax:
Mailing address:
  • Phone: 727-235-1696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberPMD515535
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9443117
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: