Provider Demographics
NPI:1952132490
Name:DAWSEY, CHRISTINA S
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:S
Last Name:DAWSEY
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 1:10163 FORTUNE PKWY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6757
Mailing Address - Country:US
Mailing Address - Phone:904-868-8348
Mailing Address - Fax:904-850-6764
Practice Address - Street 1:10163 FORTUNE PKWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6757
Practice Address - Country:US
Practice Address - Phone:904-868-8348
Practice Address - Fax:904-850-6764
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory