Allicock, Dawn C

Allicock, Dawn C is an individual health care provider with primary practice located at 200 San Sebastian Vw , St Augustine FL 32084-8695. She recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as her primary health care specialty. Allicock, Dawn C can be contacted via phone (904) 209-3250.

Contact Information

Primary practice address
200 San Sebastian Vw St Augustine FL 32084-8695
Phone: (904) 209-3250
Fax: (904) 823-2580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X ME73935 Florida

Profile Details

NPI number 1356314975
LBN Legal business name Allicock, Dawn C
Credentials M.D.,MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356314975 NPPES
Florida MEDICAID 255487900
Florida Other P00160530

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