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Contact Information

CHRISTAL M DICKUN, MD
1501 ROBERT J CONLAN BLVD NE STE 7
PALM BAY, FL32905-3559
 Phone: 321-479-4083
 Fax: 321-294-5036
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for CHRISTAL M DICKUN · (Female)

NPI Number 1487815601
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2008
Last updated 03/23/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • FL License # ME162870
  • VA License # 0101268436
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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