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NPI Code Detail

MEDICARE: DINAH SANON FNP-C

MEDICARE: DINAH SANON FNP-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
1363LF0000XFamily Nurse PractitionerF03200579FL
2363LF0000XFamily Nurse PractitionerRN2376303MA

General Provider Information

NPI Number : 1073189577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINAH SANON FNP-C
Provider Business Mailing Address
First Line : 300 NE 151ST ST
Second Line :
City : MIAMI
State : FL
Zip : 33162-5012
Country : US
Telephone Number : 305-834-8069
Fax Number :
Provider Business Practice Location Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : --
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2021
Last Update Date : 05/13/2026

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