MEDICARE: BRIANNA ALEXIS DUNBAR PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363A00000X	Physician Assistant	PA9118012	FL

General Provider Information

NPI Number	:	1063291227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA ALEXIS DUNBAR PA-C

Provider Business Mailing Address
First Line	:	7350 SANDLAKE COMMONS BLVD STE 1130
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7350 SANDLAKE COMMONS BLVD STE 1130
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-8039
Country	:	US
Telephone Number	:	407-593-3555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2023
Last Update Date	:	07/14/2025

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