| Donald Dixon Md Pa. | |
|
7261 Sheridan St Ste 100 Hollywood FL 33024-2708 | |
| (954) 985-0774 | |
| (954) 985-0104 |
| Full Name | Donald Dixon Md Pa. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7261 Sheridan St Ste 100, Hollywood, Florida |
| Authorized Official Name and Position | Donald Dixon (OWNER) |
| Authorized Official Contact | 9549850774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Dixon Md Pa. 7261 Sheridan St Ste 100 Hollywood FL 33024-2708 Ph: (954) 985-0774 | Donald Dixon Md Pa. 7261 Sheridan St Ste 100 Hollywood FL 33024-2708 Ph: (954) 985-0774 |
| NPI Number | 1811352420 |
|---|---|
| Provider Enumeration Date | 12/24/2015 |
| Last Update Date | 12/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811352420 | NPI | - | NPPES |
| 058466500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME49983 (Florida) | Primary |
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