MEDICARE: MS. DEBORAH ANN DUNHAM

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	172V00000X	Community Health Worker

Other Identifiers

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

General Provider Information

NPI Number	:	1356525208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH ANN DUNHAM

Provider Business Mailing Address
First Line	:	1180 9TH AVE W#140
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221
Country	:	US
Telephone Number	:	941-526-6760
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 8TH AVE W # 140
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-3810
Country	:	US
Telephone Number	:	941-526-6760
Fax Number	:

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

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	05/24/2026

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