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Individual

DR. WILLIAM JOHN DICKERSON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4302 W BROWARD BLVD, SUITE 200, PLANTATION, FL 33317-3780
(954) 771-3433
(954) 771-9911
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME64924
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2719029 00
FL
01
52084
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
05/25/2006
Last updated
02/18/2010
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