Individual
WILLIAM CRAWFORD DIXON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0112
Mailing address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
(850) 216-0112
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
103320
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
103320
FL
207RI0011X
Interventional Cardiology Physician
Primary
103320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000827100
—
FL
01
—
1902854219
NPI GROUP #
FL
01
—
276041000
MEDICAID GROUP #
FL
01
—
72230
BCBS GROUP #
FL
01
—
92731
BCBS
FL
01
—
Q0110
MEDICARE GROUP #
FL
Enumeration date
12/14/2006
Last updated
03/17/2026
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