Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN11011734 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | APRN11011734 | FL |
NPI | 1487239273 |
---|---|
Provider Name | Dakohta Gaskin |
First Address | Winter Garden, FL 34787-5651 |
Second Address | Winter Garden, FL 34787-5651 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2021 |
Last Update Date | 12/03/2021 |