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Organization

ADVANCED ADULT MEDICINE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY R DENNISON JR. MD, MBA (OWNER)
(813) 876-7600
Entity
Organization

Contact information

Practice address
1127 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 876-7600
(813) 533-7377
Mailing address
1921 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/16/2017
Last updated
11/16/2017
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