Individual
DR. JANE T DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1050 W GRANADA BLVD STE 4, ORMOND BEACH, FL 32174-8155
(386) 677-8808
(386) 677-9919
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3732
(786) 907-4485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036-070081
IL
207Y00000X
Otolaryngology Physician
Primary
ME139526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036070081
—
IL
01
—
2233012
BLUE SHIELD
IL
01
—
MXWIA
FLORIDA BLUE
FL
Enumeration date
01/24/2006
Last updated
04/25/2024
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