Provider Demographics
NPI:1437152196
Name:RHODES, DAWN DENISE (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:DENISE
Last Name:RHODES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:DENISE
Other - Last Name:RHODES-HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:7950 NW 53RD ST
Mailing Address - Street 2:STE 337
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33166-4653
Mailing Address - Country:US
Mailing Address - Phone:888-956-2674
Mailing Address - Fax:888-956-2674
Practice Address - Street 1:7950 NW 53RD ST
Practice Address - Street 2:STE 337
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33166-4653
Practice Address - Country:US
Practice Address - Phone:888-956-2674
Practice Address - Fax:888-956-2674
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 3204213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL65894Medicare ID - Type UnspecifiedMEDICARE#
FLV05896Medicare UPIN