Doctor Name: | DONNA DYER DUBOIS |
NPI Number: | 1275602377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | OS8635 |
Business Practice Address: | 7006 Sw Woodbine Way Palm City, FL - 349908332 |
Business Phone Number: | 7723410001 |
Business Fax Number: | |
Mailing Address: | 7006 Sw Woodbine Way, PALM CITY |
State: | FL |
Postal Code: | 349908332 |
Phone Number: | 7723410001 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | OS8635 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |