Individual
AMBER DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
179 KINGS WAY, SATELLITE BEACH, FL 32937-3259
(254) 244-1660
Mailing address
179 KINGS WAY, SATELLITE BEACH, FL 32937-3259
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D250-012-84-844-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D250-012-84-844-0
—
FL
Enumeration date
02/17/2021
Last updated
02/17/2021
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