# MYMTM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992046437
- **Authorized official:** MS. DAWN D. DULIN-FELIX RPH (PRESIDENT)
- **Authorized official phone:** (954) 261-8211

## Contact information

- **Practice address:** 515 E. PARK AVENUE, TALLAHASSEE, FL 32301
- **Practice address phone:** (954) 261-8211
- **Practice address fax:** (954) 333-3822
- **Mailing address:** 304 INDIAN TRACE \#191, WESTON, FL 33326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | NULL | Yes |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | — | — | Yes |
| 1835P1200X | Pharmacotherapy Pharmacist | — | NULL | — |
| 1835P1200X | Pharmacotherapy Pharmacist | — | — | — |

## Other

- **Enumeration date:** 03/08/2013
- **Last updated:** 03/08/2013