Provider Demographics
NPI:1770989246
Name:BROWN, DAWN (PA-C)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:DAWN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:6228NW43RD ST B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32653-8871
Mailing Address - Country:US
Mailing Address - Phone:352-332-6680
Mailing Address - Fax:352-332-6604
Practice Address - Street 1:NORTH FLORIDA INTEGRATIVE MEDICINE
Practice Address - Street 2:6228 NW 43RD STREET SUITE B
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653
Practice Address - Country:US
Practice Address - Phone:352-332-6680
Practice Address - Fax:352-332-6604
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9108364363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant