MEDICARE: GLORIA E DUNKIN MD PA

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	2084P0800X	Psychiatry Physician	ME84390	FL

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	:	1639116031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORIA E DUNKIN MD PA

Provider Business Mailing Address
First Line	:	6231 P G A BLVD
Second Line	:	SUITE 104 - #277
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4033
Country	:	US
Telephone Number	:	561-352-3591
Fax Number	:	561-624-1325

Provider Business Practice Location Address
First Line	:	2201 45TH ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2047
Country	:	US
Telephone Number	:	561-842-6141
Fax Number	:	561-881-4364

Authorized Official
Title or Position	:	DOCTOR PSYCHIATRIST
Name	:	GLORIA E DUNKIN
Credential	:	MD PA
Telephone Number	:	561-352-3591

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/10/2010

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Directions to “GLORIA E DUNKIN MD PA ” Practice Location

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