Dawn Davanzo MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DAWN DAVANZO MD PA

Practice address

1050 NW 15TH St
Suite 103a
Boca Raton, FL 33486-1375

Phone

(561) 338-3300

Fax

(561) 338-3303

NPI assigned

May 25, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawn Davanzo, MDNPI 1871664326

Title

President

Phone

(561) 338-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn M Davanzo, M.D.

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1871664326
  Medicare reassignment Authorized official
• Richard J Gerstein, MD

  • Internal Medicine Physician
  • Boca Raton, FL
  • NPI 1871675777
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1144513045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 103A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-338-3300",
            "fax_number": "561-338-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NW 15TH ST",
            "address_2": "SUITE 103A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861375",
            "telephone_number": "561-338-3300",
            "fax_number": "561-338-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN DAVANZO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "DAVANZO",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-338-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Davis, ARNP
• Quatiba E. Davis, M.ED, BCBA, LABA
• Susan Ruth Davis, L.C.S.W.
• William R Davis
• Misha Davison, M.S.
• Day to Day Physical Therapy LLC
• Kimberly Day-Macdonald, PT
• Emily Dayan
• Etan Dayan, M.D.
• Raul Daniel Dayan

• Internal Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.