Aycock, Dawn Marie

Aycock, Dawn Marie is an individual health care provider with primary practice located at 520 Ne 542Nd St , Old Town FL 32680-3818. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Aycock, Dawn Marie can be contacted via phone (863) 537-0644.

Contact Information

Primary practice address
520 Ne 542Nd St Old Town FL 32680-3818
Phone: (863) 537-0644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3191812 Florida
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN3191812 Florida

Profile Details

NPI number 1962772103
LBN Legal business name Aycock, Dawn Marie
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2012
Last updated Jul 17th, 2019 - about 5 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 1962772103 NPPES
Florida MEDICAID 004615000

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