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NPI Code Detail

MEDICARE: DAWN MARIE KITA

MEDICARE: DAWN MARIE KITA
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1376042952
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN MARIE KITA
Provider Business Mailing Address
First Line : 4708 WANDERING WAY
Second Line :
City : TAMPA
State : FL
Zip : 33624-6355
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 E OAK AVE
Second Line :
City : TAMPA
State : FL
Zip : 33602-2210
Country : US
Telephone Number : 813-224-9622
Fax Number : 888-974-1296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2018
Last Update Date : 02/08/2018

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Directions to “ DAWN MARIE KITA ” Practice Location

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