Individual
DAWN M DAVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 NW 15TH ST, SUITE 103A, BOCA RATON, FL 33486-1375
(561) 338-3300
(561) 338-3303
Mailing address
1050 NW 15TH ST, SUITE 103A, BOCA RATON, FL 33486-1375
(561) 338-3300
(561) 338-3303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17801
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000733600
—
FL
05
—
00126503
—
MS
01
—
P00717167
RR MEDICARE
FL
Enumeration date
11/13/2006
Last updated
06/06/2011
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