MEDICARE: DONALD G DAWKINS DO

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	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	056817	GA
2	207Q00000X	Family Medicine Physician	OS10160	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
2	09023	OTHER	FL	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912123886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD G DAWKINS DO

Provider Business Mailing Address
First Line	:	4421 SUN N LAKE BLVD
Second Line	:	SUITE B
City	:	SEBRING
State	:	FL
Zip	:	33872-2166
Country	:	US
Telephone Number	:	863-402-2378
Fax Number	:

Provider Business Practice Location Address
First Line	:	4421 SUN N LAKE BLVD
Second Line	:	SUITE B
City	:	SEBRING
State	:	FL
Zip	:	33872-2166
Country	:	US
Telephone Number	:	863-402-2378
Fax Number	:

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/30/2008

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