| Dawn Davanzo MD PA | |
|
1050 Nw 15th St Suite 103a Boca Raton FL 33486-1375 | |
| (561) 338-3300 | |
| (561) 338-3303 |
| Full Name | Dawn Davanzo MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 1050 Nw 15th St, Boca Raton, Florida |
| Authorized Official Name and Position | Dawn Davanzo (PRESIDENT) |
| Authorized Official Contact | 5613383300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Davanzo MD PA 1050 Nw 15th St Suite 103a Boca Raton FL 33486-1375 Ph: (561) 338-3300 | Dawn Davanzo MD PA 1050 Nw 15th St Suite 103a Boca Raton FL 33486-1375 Ph: (561) 338-3300 |
| NPI Number | 1144513045 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Medicare PECOS PAC ID | 9234317447 |
|---|---|
| Medicare Enrollment ID | O20110616000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144513045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Dawn M Davanzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871664326 PECOS PAC ID: 1153409487 Enrollment ID: I20080426000026 |
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