Healthcare Provider Details

I. General information

NPI: 1063291227
Provider Name (Legal Business Name): BRIANNA ALEXIS DUNBAR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NW FEDERAL HWY STE 201
STUART FL
34994-1060
US

IV. Provider business mailing address

701 NW FEDERAL HWY STE 201
STUART FL
34994-1060
US

V. Phone/Fax

Practice location:
  • Phone: 772-758-1288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9118012
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: