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Individual

CHRISTAL M DICKUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 479-4083
(321) 294-5036
Mailing address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 479-4083
(321) 294-5036

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101268436
VA
207P00000X
Emergency Medicine Physician
25291
NE
207P00000X
Emergency Medicine Physician
Primary
A124247
CA
207P00000X
Emergency Medicine Physician
ME162870
FL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
ME162870
FL
208D00000X
General Practice Physician
0101268436
VA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
ME162870
FL

Other

Enumeration date
06/19/2008
Last updated
03/23/2026
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