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Individual

DAWN SUZANNE DI SALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
655 W 8TH ST, UFJAX - DEPT. OF NEONATOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-4242
(904) 244-4301
Mailing address
PO BOX 44008, UFJP - PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3199
(904) 244-3425

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP9231907
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003126340A
GA
05
006265800
FL
Enumeration date
06/28/2012
Last updated
05/20/2013
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