Provider Demographics
NPI:1013746866
Name:NEAVERTH, DAWN C
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:C
Last Name:NEAVERTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9825 50TH STREET CIR E
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-4421
Mailing Address - Country:US
Mailing Address - Phone:941-400-0264
Mailing Address - Fax:
Practice Address - Street 1:9825 50TH STREET CIR E
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-4421
Practice Address - Country:US
Practice Address - Phone:941-400-0264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies