Dixon, Cheryl Lynn

Dixon, Cheryl Lynn is an sole proprietor health care provider with primary practice located at 1370 13Th Ave S Suite 121, Jacksonville FL 32250-3230. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Dixon, Cheryl Lynn can be contacted via phone (904) 421-2119.

Contact Information

Primary practice address
1370 13Th Ave S Suite 121 Jacksonville FL 32250-3230
Phone: (904) 421-2119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME53494 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME53494 Florida

Profile Details

NPI number 1174500029
LBN Legal business name Dixon, Cheryl Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2005
Last updated Jul 12th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174500029 NPPES
Florida MEDICAID 062789500

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