Provider Demographics
NPI:1982652160
Name:DUNN, PHILIP H (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:H
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4371 VERONICA S SHOEMAKER BLVD
Mailing Address - Street 2:ATTN: CREDENTIALING DEPARTMENT
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33916-2216
Mailing Address - Country:US
Mailing Address - Phone:239-274-8200
Mailing Address - Fax:239-278-3350
Practice Address - Street 1:2501 N ORANGE AVE
Practice Address - Street 2:SUITE 381
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4623
Practice Address - Country:US
Practice Address - Phone:407-898-5452
Practice Address - Fax:407-894-1183
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0037819207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066242900Medicaid
FL47411YMedicare PIN
FLD62506Medicare UPIN