Doctor Name: | AMY DAWN DUGAN |
NPI Number: | 1134292691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA9101121 |
Business Practice Address: | 2370 Market Dr Fleming Island, FL - 320034326 |
Business Phone Number: | 9042646201 |
Business Fax Number: | 9042646858 |
Mailing Address: | 7015 A C Skinner Pkwy, Suite 1 JACKSONVILLE |
State: | FL |
Postal Code: | 322566932 |
Phone Number: | 9043632113 |
Fax Number: | 9043632606 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 12/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA9101121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |