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Individual

THOMAS W DAWSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1124 NORTH SUNCOAST BLVD, CRYSTAL RIVER, FL 34429-5474
(352) 795-3317
(352) 795-3011
Mailing address
PO BOX 730, CRYSTAL RIVER, FL 34423-0730
(352) 795-3317
(352) 795-3011

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC977
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084385700
FL
Enumeration date
05/27/2005
Last updated
03/28/2010
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