Provider Demographics
NPI:1356130470
Name:DOTSON, BAYLEE (RN)
Entity type:Individual
Prefix:
First Name:BAYLEE
Middle Name:
Last Name:DOTSON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 NW 135TH WAY STE 10
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32669-3713
Mailing Address - Country:US
Mailing Address - Phone:352-260-4061
Mailing Address - Fax:
Practice Address - Street 1:216 NW 135TH WAY STE 10
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32669-3713
Practice Address - Country:US
Practice Address - Phone:352-260-4061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9638645163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse