Organization
THOMAS W DAWSON OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY F DAWSON (OFFICE MGR)
(352) 795-3317
Entity
Organization
Contact information
Practice address
1124 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34429-5474
(352) 795-3317
(352) 795-3011
Mailing address
PO BOX 730, CRYSTAL RIVER, FL 34423-0730
(352) 795-3317
(352) 795-3317
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084385700
—
FL
Enumeration date
05/05/2008
Last updated
05/05/2008
Update your record
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