| Dwight G. A. Dawkins, Md, Pa | |
|
2100 Nebraska Ave Suite 201 Fort Pierce FL 34950-4831 | |
| (772) 461-1191 | |
| (772) 461-1180 |
| Full Name | Dwight G. A. Dawkins, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 Nebraska Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Dwight G.a. Dawkins (OWNER) |
| Authorized Official Contact | 7724611191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight G. A. Dawkins, Md, Pa 2100 Nebraska Ave Suite 201 Fort Pierce FL 34950-4831 Ph: (772) 461-1191 | Dwight G. A. Dawkins, Md, Pa 2100 Nebraska Ave Suite 201 Fort Pierce FL 34950-4831 Ph: (772) 461-1191 |
| NPI Number | 1942530951 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 11/07/2013 |
| Medicare PECOS PAC ID | 7618012790 |
|---|---|
| Medicare Enrollment ID | O20100301000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942530951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dwight Garfield Dawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164492005 PECOS PAC ID: 5991849507 Enrollment ID: I20100220000253 |
| Provider Name | Gregory A Dawkins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235336819 PECOS PAC ID: 5496936643 Enrollment ID: I20121008000013 |
| Provider Name | Deborah A Kicliter-kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144476920 PECOS PAC ID: 2365696101 Enrollment ID: I20130204000264 |
| Provider Name | Denise Ricketts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215163175 PECOS PAC ID: 8426213067 Enrollment ID: I20130510000450 |
| Provider Name | Leriche F Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477967834 PECOS PAC ID: 1456573195 Enrollment ID: I20141112001514 |
| Provider Name | Audreylyn Waldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859454 PECOS PAC ID: 7113295221 Enrollment ID: I20170614000718 |
| Provider Name | Narine Melissa Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588104582 PECOS PAC ID: 8820366859 Enrollment ID: I20170616000405 |
Holistic Family & Pain Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1905 S 25th St, Ste100, Fort Pierce, FL 34947 Phone: 772-467-9083 Fax: 772-464-6478 | |
Lakewood Park Walk-in Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5059 Turnpike Feeder Rd, Fort Pierce, FL 34951 Phone: 772-465-8588 | |
Ryan White Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Delaware Ave, Fort Pierce, FL 34950 Phone: 772-461-1402 Fax: 772-461-9972 | |
Md Primary Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2215 Nebraska Ave Ste 2-b, Fort Pierce, FL 34950 Phone: 772-302-3767 Fax: 888-436-7197 | |
Tcmmd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2011 S 25th St Ste 206, Fort Pierce, FL 34947 Phone: 772-237-3600 Fax: 772-236-7887 | |
Geriatric Solutions, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5804 Indian Pines Blvd, Fort Pierce, FL 34951 Phone: 772-828-3752 Fax: 772-302-3518 | |
Perry R Lloyd Iii Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2207 Sunrise Blvd, Fort Pierce, FL 34950 Phone: 772-465-0491 |