Healthcare Provider Details

I. General information

NPI: 1487078903
Provider Name (Legal Business Name): DAWN ELIZABETH STONE ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN ELIZABETH JENNETTE APRN-C

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 05/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 W DR MARTIN LUTHER KING JR BLVD MAB 3RD FLOOR
TAMPA FL
33607-6307
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 813-554-8983
  • Fax: 813-443-8177
Mailing address:
  • Phone: 727-532-1355
  • Fax: 813-635-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9175302
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: