Provider Demographics
NPI:1295442820
Name:DAWKINS, ARTISHA ANTIONETTE
Entity type:Individual
Prefix:
First Name:ARTISHA
Middle Name:ANTIONETTE
Last Name:DAWKINS
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 1:10318 PALERMO CIR APT 303
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-5100
Mailing Address - Country:US
Mailing Address - Phone:305-487-2021
Mailing Address - Fax:
Practice Address - Street 1:10318 PALERMO CIR APT 303
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-5100
Practice Address - Country:US
Practice Address - Phone:305-487-2021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator