Individual
CARL F DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3035 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4347
(954) 776-4981
(954) 776-0146
Mailing address
3035 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4347
(954) 776-4981
(954) 776-0146
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
ME62956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3752810000
—
FL
Enumeration date
08/20/2006
Last updated
07/08/2007
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