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Individual

DAWN A BROGNANO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1950 BLUEWATER BLVD, SUITE 101, NICEVILLE, FL 32578-3888
(850) 897-3334
(850) 897-7855
Mailing address
728 N FERDON BLVD, STE 3, CRESTVIEW, FL 32536-2166
(850) 897-3334
(850) 897-7855

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21724
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891321800
FL
01
Y906W
BCBSFL GROUP#
FL
Enumeration date
06/02/2006
Last updated
05/29/2019
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