Provider Demographics
NPI:1871091835
Name:GIMBERT, ALLISON DAWKINS (DC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:DAWKINS
Last Name:GIMBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PINE LAKES PKWY N STE 3
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-3644
Mailing Address - Country:US
Mailing Address - Phone:217-663-6478
Mailing Address - Fax:
Practice Address - Street 1:2 PINE LAKES PKWY N STE 3
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-3644
Practice Address - Country:US
Practice Address - Phone:217-663-6478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor