Individual
GRACE DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1830 N MAIN ST, BELL, FL 32619-4713
(352) 463-2374
(352) 463-4507
Mailing address
23343 NW COUNTY ROAD 236, HIGH SPRINGS, FL 32643-9669
(352) 463-2374
(352) 463-2726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME104728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002563700
—
FL
01
—
ED473Z
MEDICARE PTAN
FL
Enumeration date
08/24/2007
Last updated
01/15/2020
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