Dawkins, Max Reid

Dawkins, Max Reid is an individual health care provider with primary practice located at 1005 Mar Walt Dr Immediate Care Department, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dawkins, Max Reid can be contacted via phone (850) 863-8219.

Contact Information

Primary practice address
1005 Mar Walt Dr Immediate Care Department Fort Walton Beach FL 32547-6707
Phone: (850) 863-8219
Fax: (850) 863-8249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0003067 Florida

Profile Details

NPI number 1629053442
LBN Legal business name Dawkins, Max Reid
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jan 17th, 2017 - about 8 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 1629053442 NPPES
Florida Other Y00KL BCBSFL
Florida MEDICAID 290385700 BCBSFL

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