Dickson, Kurtis Antonio

Dickson, Kurtis Antonio is an individual health care provider with primary practice located at 293 Nw Peacock Blvd Ste 201 , Port Saint Lucie FL 34986-2222. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dickson, Kurtis Antonio can be contacted via phone (772) 204-8870.

Contact Information

Primary practice address
293 Nw Peacock Blvd Ste 201 Port Saint Lucie FL 34986-2222
Phone: (772) 204-8870
Fax: (772) 204-8873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111705 Florida

Profile Details

NPI number 1427531771
LBN Legal business name Dickson, Kurtis Antonio
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2018
Last updated Nov 8th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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