# DEAN HILDAHL, M.D. P.A.

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

## Provider details

- **NPI number:** 1760589048
- **Authorized official:** DEAN BOYD HILDAHL MD (PHYSICIAN/ OWNER)
- **Authorized official phone:** (239) 593-5510

## Contact information

- **Practice address:** 5500 BRYSON DR STE 301, NAPLES, FL 34109-0921
- **Practice address phone:** (239) 593-5510
- **Practice address fax:** (239) 593-5414
- **Mailing address:** 5500 BRYSON DR STE 301, NAPLES, FL 34109-0921
- **Mailing address phone:** (239) 593-5510
- **Mailing address fax:** (239) 593-5414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME72896 | FL | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 41706 | BLUE CROSS/BLUE SHIELD | FL |