Individual
DR. DANIEL STOUGHTON DICKINSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, BOX 100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
Mailing address
2445 SW 76TH ST, GAINESVILLE, FL 32608-0350
(352) 872-5111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2025-00876
NC
207P00000X
Emergency Medicine Physician
Primary
ME116080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018756500
—
FL
Enumeration date
03/19/2008
Last updated
08/25/2025
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