# DEAN MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619274388
- **Authorized official:** DR. BYRON RENARD DEAN D.O. (PHYSICIAN)
- **Authorized official phone:** (863) 937-7157

## Contact information

- **Practice address:** 1500 LAKELAND HILLS BLVD STE 4, LAKELAND, FL 33805-3257
- **Practice address phone:** (863) 937-7157
- **Practice address fax:** (863) 333-0260
- **Mailing address:** 3616 HARDEN BLVD \# 311, LAKELAND, FL 33803-5938
- **Mailing address phone:** (863) 937-7157
- **Mailing address fax:** (863) 333-0260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS9203 | FL | Yes |

## Other

- **Enumeration date:** 02/16/2011
- **Last updated:** 11/05/2023