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DONNA DYER DO INC NPI 1063457570


NPI Information

NPI: 1063457570
Provider Name: DONNA DYER DO INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
611 SW FEDERAL HWY
SUITE E
STUART, FL
ZIP 34994
Phone: (772) 286-4045
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DONNA DYER DO INC is a health service clinic center in Stuart, FL. DONNA DYER DO INC NPI is 1063457570. The provider is registered as an organization entity type.

The provider's business location address is:

611 SW FEDERAL HWY
SUITE E
STUART, FL
ZIP 34994-925
Phone: (772) 286-4045
Fax: (772) 286-4051

The provider's authorized official is Donna Dyer .
The authorized official title is President and has the following contact phone number (772) 286-4045.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceOS8635FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H29352MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2U0068AMEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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