Kristen L Dixon is a Medical in Jacksonville, Florida. Kristen L Dixon practices all healthcare services and medical treatments related to Medical. The NPI Number for Kristen L Dixon is 1417940701. The last update date is 2016-09-20.
Kristen L Dixon's current location address is 4800 Belfort Rd, Jacksonville, Florida. You can contact this provider via phone number 9043987205. The mailing address for Kristen L Dixon is 4800 Belfort Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristen L Dixon |
|---|---|
| Address | 4800 Belfort Rd, Jacksonville, Florida |
| Phone Number | 9043987205 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1417940701 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2016-09-20 |
Provider Mailing Address Detail
| Address | 4800 Belfort Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322566004 |
| Phone Number | 9043987205 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA9102914 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 292203700 | FL | -- |
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What is the unique 10-digit identifier code issued to Kristen L Dixon by the Centers for Medicare & Medicaid Services?
The Kristen L Dixon has been assigned the NPI (National Provider Identifier) 1417940701 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kristen L Dixon?
The Kristen L Dixon is physically situated at 4800 Belfort Rd, in the city of Jacksonville, state of FL, with the postal code 322566004.
What is the Kristen L Dixon's specialty and taxonomy code?
The Kristen L Dixon's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Kristen L Dixon receive its 1417940701?
The Kristen L Dixon was issued its 1417940701 on 2005-08-23, which is the date when the organization was assigned this unique identifier.
When was the information regarding Kristen L Dixon most recently updated?
The details pertaining to the Kristen L Dixon, including its address, specialty, and other relevant information, were last refreshed on 2016-09-20.
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