Individual
DAWN ALICE DURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1755 N FLORIDA AVE, LAKELAND, FL 33805-3109
(863) 904-6296
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106912
FL
363AS0400X
Surgical Physician Assistant
PA9106912
FL
Other
Enumeration date
10/11/2012
Last updated
10/13/2021
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