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Organization
MD 2 GO LLC
Active
Organization
MD 2 GO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT G DAWKINS M.D. (OWNER)
(772) 337-9473
Entity
Organization
Contact information
Practice address
1801 SE HILLMOOR DR, B109, PORT SAINT LUCIE, FL 34952-7553
(772) 337-9473
(772) 337-0796
Mailing address
1801 SE HILLMOOR DR, B109, PORT SAINT LUCIE, FL 34952-7553
(772) 337-9473
(772) 337-0796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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