| Doctor Name: | DWAYNE DILLON |
| NPI Number: | 1225487721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 4600 N University Dr Ste 406 Lauderhill, FL - 333514518 |
| Business Phone Number: | 9544659297 |
| Business Fax Number: | |
| Mailing Address: | 4600 N University Dr Suit 406, LAUDERHILL |
| State: | FL |
| Postal Code: | 33309 |
| Phone Number: | 9544659297 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2016 |
| NPI Last Update Date: | 06/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |