Provider Demographics
NPI:1538367453
Name:SUN, DINON (DO)
Entity type:Individual
Prefix:
First Name:DINON
Middle Name:
Last Name:SUN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 N DEAN RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-3245
Mailing Address - Country:US
Mailing Address - Phone:407-678-9926
Mailing Address - Fax:
Practice Address - Street 1:5640 N DEAN RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-3245
Practice Address - Country:US
Practice Address - Phone:407-678-9926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS3676202C00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine