Individual
JOSE RUBEN ALDO DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
656 SW MUNJACK CV, PORT ST LUCIE, FL 34986-4530
(832) 348-3707
Mailing address
656 SW MUNJACK CV, PORT ST LUCIE, FL 34986-4530
(832) 348-3707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11008832
FL
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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