MEDICARE: DR. TONY A DIXON M.D.

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	207R00000X	Internal Medicine Physician	ME 57237	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME57237	OTHER	FL	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386605244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY A DIXON M.D.

Provider Business Mailing Address
First Line	:	10 FAIRWAY DR STE 305
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1802
Country	:	US
Telephone Number	:	954-744-0200
Fax Number	:	754-318-6211

Provider Business Practice Location Address
First Line	:	10 FAIRWAY DR STE 305
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1802
Country	:	US
Telephone Number	:	954-744-0200
Fax Number	:	754-318-6211

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

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	07/08/2025

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