Provider Demographics
NPI:1063986719
Name:DAWKINS, DANIEL CORNELL (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CORNELL
Last Name:DAWKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 BROAD MANOR RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-3438
Mailing Address - Country:US
Mailing Address - Phone:786-473-1545
Mailing Address - Fax:
Practice Address - Street 1:734 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2129
Practice Address - Country:US
Practice Address - Phone:866-465-3766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor