Provider Demographics
NPI:1790733749
Name:DUMOIS, JUAN ANTONIO III (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:ANTONIO
Last Name:DUMOIS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:679 RIVIERA BAY DR NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-2709
Mailing Address - Country:US
Mailing Address - Phone:727-767-4160
Mailing Address - Fax:727-767-8270
Practice Address - Street 1:880 6TH ST S
Practice Address - Street 2:BOX 7810
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4827
Practice Address - Country:US
Practice Address - Phone:727-767-4160
Practice Address - Fax:727-767-8270
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME00547682080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases