Healthcare Provider Details

I. General information

NPI: 1154609030
Provider Name (Legal Business Name): NEHA M. DUNN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NEHA DUNN M.D.

II. Dates (important events)

Enumeration Date: 07/27/2011
Last Update Date: 01/16/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 S TUTTLE AVE
SARASOTA FL
34239-6405
US

IV. Provider business mailing address

3570 S TUTTLE AVE
SARASOTA FL
34239-6405
US

V. Phone/Fax

Practice location:
  • Phone: 941-927-4888
  • Fax: 309-671-2167
Mailing address:
  • Phone: 941-927-4888
  • Fax: 309-671-2167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125059188
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number036.141722
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberME159245
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: