Individual
DENIS DOUGLAS ASIIMWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
820 PRUDENTIAL DR STE 515, JACKSONVILLE, FL 32207-8207
(904) 396-4886
(904) 390-7487
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016023332
MO
207R00000X
Internal Medicine Physician
ME148814
FL
207RI0200X
Infectious Disease Physician
Primary
ME148814
FL
208M00000X
Hospitalist Physician
2016023332
MO
208M00000X
Hospitalist Physician
ME148814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003293991A
—
GA
05
—
109981800
—
FL
Enumeration date
09/08/2013
Last updated
03/17/2025
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