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Individual

DAWN M ERICSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 654-2273
(813) 654-1384
Mailing address
505 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 654-2273
(813) 654-1384

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME96851
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001299300
FL
Enumeration date
01/11/2007
Last updated
06/01/2010
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