Provider Demographics
NPI:1851611768
Name:DAWKINS, BRYAN M (MD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:M
Last Name:DAWKINS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11917 SOUTHERN BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7678
Mailing Address - Country:US
Mailing Address - Phone:561-214-2158
Mailing Address - Fax:561-629-5046
Practice Address - Street 1:11917 SOUTHERN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7678
Practice Address - Country:US
Practice Address - Phone:561-214-2158
Practice Address - Fax:561-629-5046
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116133207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine