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NPI Code Detail

MEDICARE: VIRGIL L DAWSON JR. MD

MEDICARE: VIRGIL L DAWSON JR. MD
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
1207Q00000XFamily Medicine PhysicianME47263FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295797041
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGIL L DAWSON JR. MD
Provider Business Mailing Address
First Line : 3400 QUADRANGLE BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-1492
Country : US
Telephone Number : 407-266-3627
Fax Number : 407-882-4799
Provider Business Practice Location Address
First Line : 3400 QUADRANGLE BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-1492
Country : US
Telephone Number : 407-266-3627
Fax Number : 407-882-4799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 02/28/2017

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Directions to “ VIRGIL L DAWSON JR. MD” Practice Location

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