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NPI Code Detail

MEDICARE: DAWN LYNN CARROLL ARNP

MEDICARE:   DAWN LYNN CARROLL  ARNP
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
1363L00000XNurse PractitionerARNP 2822692FL

General Provider Information

NPI Number : 1275866808
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN LYNN CARROLL ARNP
Provider Business Mailing Address
First Line : 11528 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-1442
Country : US
Telephone Number : 727-868-2151
Fax Number : 727-819-8362
Provider Business Practice Location Address
First Line : 9238 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-4853
Country : US
Telephone Number : 727-849-8491
Fax Number : 727-849-3483
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2009
Last Update Date : 11/30/2009

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