MEDICARE: DONALD L 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	207P00000X	Emergency Medicine Physician	26549-20	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28785	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851366116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD L DIXON M.D.

Provider Business Mailing Address
First Line	:	4984 N PINK POPPY DR
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-2801
Country	:	US
Telephone Number	:	305-340-9837
Fax Number	:

Provider Business Practice Location Address
First Line	:	4984 N PINK POPPY DR
Second Line	:
City	:	BEVERLY HILLS
State	:	FL
Zip	:	34465-2801
Country	:	US
Telephone Number	:	305-340-9837
Fax Number	:

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	10/10/2022

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