Provider Demographics
NPI:1053307629
Name:DUNN, JOE A JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:A
Last Name:DUNN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 S FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-4990
Mailing Address - Country:US
Mailing Address - Phone:850-458-4200
Mailing Address - Fax:850-456-7222
Practice Address - Street 1:321 S FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506-4990
Practice Address - Country:US
Practice Address - Phone:850-458-4200
Practice Address - Fax:850-456-7222
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0065385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC72197Medicare UPIN
FL25196YMedicare ID - Type Unspecified