Healthcare Provider Details

I. General information

NPI: 1568115541
Provider Name (Legal Business Name): CARDEN DODSON MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 07/07/2022
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR STE 7900
WEST PALM BEACH FL
33401-3420
US

IV. Provider business mailing address

1411 N FLAGLER DR STE 7900
WEST PALM BEACH FL
33401-3420
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-8448
  • Fax: 561-655-2844
Mailing address:
  • Phone: 561-655-8448
  • Fax: 561-655-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID DODSON
Title or Position: OWNER
Credential: MD
Phone: 561-655-8448