Provider Demographics
NPI:1639116031
Name:GLORIA E DUNKIN MD PA
Entity Type:Organization
Organization Name:GLORIA E DUNKIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUNKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:561-352-3591
Mailing Address - Street 1:6231 P G A BLVD
Mailing Address - Street 2:SUITE 104 - #277
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4033
Mailing Address - Country:US
Mailing Address - Phone:561-352-3591
Mailing Address - Fax:561-624-1325
Practice Address - Street 1:2201 45TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2047
Practice Address - Country:US
Practice Address - Phone:561-842-6141
Practice Address - Fax:561-881-4364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME843902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265346000Medicaid
FLK6339Medicare ID - Type Unspecified