Skaden, Jibril Dixon

Skaden, Jibril Dixon is an individual health care provider with primary practice located at 855 E Plant St Ste 100 , Winter Garden FL 34787-3160. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Skaden, Jibril Dixon can be contacted via phone (407) 287-6363.

Contact Information

Primary practice address
855 E Plant St Ste 100 Winter Garden FL 34787-3160
Phone: (407) 287-6363
Fax: (844) 388-6186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME133396 Florida

Profile Details

NPI number 1902281025
LBN Legal business name Skaden, Jibril Dixon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2015
Last updated Aug 12th, 2022 - about 2 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 1902281025 NPPES
Florida MEDICAID 023627300

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