Provider Demographics
NPI:1366879439
Name:DICKINSON, HIRAM KARL (ARNP)
Entity type:Individual
Prefix:MR
First Name:HIRAM
Middle Name:KARL
Last Name:DICKINSON
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:651 SE 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:FL
Mailing Address - Zip Code:32693-5003
Mailing Address - Country:US
Mailing Address - Phone:941-365-2434
Mailing Address - Fax:941-349-9301
Practice Address - Street 1:5401 SAWYER RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2444
Practice Address - Country:US
Practice Address - Phone:941-928-2152
Practice Address - Fax:941-349-9301
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9258344363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health