Provider Demographics
NPI:1093885022
Name:DUNN, HARRY JOSEPH JR (DC DABCN FIAMA)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:JOSEPH
Last Name:DUNN
Suffix:JR
Gender:M
Credentials:DC DABCN FIAMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 9TH AVE N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-5743
Mailing Address - Country:US
Mailing Address - Phone:904-249-1551
Mailing Address - Fax:
Practice Address - Street 1:390 9TH AVE N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-5743
Practice Address - Country:US
Practice Address - Phone:904-249-1551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5569111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22145Medicare ID - Type Unspecified