Provider Demographics
NPI:1366829103
Name:DUNN, GAYON
Entity type:Individual
Prefix:
First Name:GAYON
Middle Name:
Last Name:DUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:GAYON
Other - Middle Name:DIANA
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:6151 MIRAMAR PKWY
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3970
Mailing Address - Country:US
Mailing Address - Phone:305-308-2728
Mailing Address - Fax:954-272-8437
Practice Address - Street 1:6151 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3970
Practice Address - Country:US
Practice Address - Phone:305-308-2728
Practice Address - Fax:954-272-8437
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1816252101YA0400X, 101YM0800X, 101YP2500X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health