Provider Demographics
NPI:1710916424
Name:BRUIJNZEEL, DAWN-CHRISTI MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWN-CHRISTI
Middle Name:MARIE
Last Name:BRUIJNZEEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DAWN-CHRISTI
Other - Middle Name:HERON
Other - Last Name:BRUIJNZEEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 100371
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0371
Mailing Address - Country:US
Mailing Address - Phone:352-265-0301
Mailing Address - Fax:352-265-0627
Practice Address - Street 1:1600 SW ARCHER ROAD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0371
Practice Address - Country:US
Practice Address - Phone:352-265-7981
Practice Address - Fax:352-265-7983
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME861672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16160Medicare ID - Type Unspecified
I38430Medicare UPIN