Dillingham, Adilen L

Dillingham, Adilen L is an individual health care provider with primary practice located at 906 Park Ave , Orange Park FL 32073-4120. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Dillingham, Adilen L can be contacted via phone (904) 541-0315.

Contact Information

Primary practice address
906 Park Ave Orange Park FL 32073-4120
Phone: (904) 541-0315
Fax: (904) 541-0316
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101943 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101943 Florida

Profile Details

NPI number 1366656688
LBN Legal business name Dillingham, Adilen L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated May 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 1366656688 NPPES
Florida Other PA9101943 PA LICENSE

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