Healthcare Provider Details

I. General information

NPI: 1881539765
Provider Name (Legal Business Name): CLEOPETRA DAWKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40351 US HIGHWAY 19 N STE 316
TARPON SPRINGS FL
34689-4858
US

IV. Provider business mailing address

520 E CURLEW PL
TARPON SPRINGS FL
34689-4611
US

V. Phone/Fax

Practice location:
  • Phone: 727-330-8932
  • Fax:
Mailing address:
  • Phone: 727-717-5031
  • Fax: 727-717-5031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: