Individual
DR. DAWN C ALLICOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,MPH
Contact information
Practice address
200 SAN SEBASTIAN VW, ST AUGUSTINE, FL 32084-8695
(904) 209-3250
(904) 823-2580
Mailing address
200 SAN SEBASTIAN VW, ST AUGUSTINE, FL 32084-8695
(904) 209-3250
(904) 823-2580
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME73935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255487900
—
FL
01
—
P00160530
RAILROAD MEDICARE
FL
Enumeration date
02/13/2006
Last updated
07/14/2016
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