DAWSON INTEGRATIVE MEDICAL CENTER LLC NPI 1679152979

NPI Information

DAWSON INTEGRATIVE MEDICAL CENTER LLC is a primary care clinic center in Orlando, FL. DAWSON INTEGRATIVE MEDICAL CENTER LLC NPI is 1679152979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10244 E COLONIAL DR STE 204
ORLANDO, FL
ZIP 32817-338
Phone: (407) 777-2673
Fax: (407) 612-2226

The provider's authorized official is Christina Marie Dawson .
The authorized official title is Physician Owner and has the following contact phone number (407) 485-6199.

The CLIA number assigned to this NPI record is 10D2226567 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2021 and was last updated on 3/9/2023.

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:

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