Individual
DR. DAWN NOELLE DUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 PONTE VEDRA PARK DRIVE, SUITE 202 PECNF, PONTE VEDRA BEACH, FL 32082
(904) 425-5075
(904) 425-9414
Mailing address
240 PONTE VEDRA PARK DRIVE, SUITE 202 PECNF, PONTE VEDRA BEACH, FL 32082
(904) 425-5075
(904) 425-9414
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME96217
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
ME96217
FL
208000000X
Pediatrics Physician
ME96217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275733800
—
FL
05
—
280916776E
—
GA
Enumeration date
08/10/2006
Last updated
07/12/2018
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