Organization
DEAN MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON DEAN (CEO)
(407) 719-6673
Entity
Organization
Contact information
Practice address
1500 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3257
(407) 719-6673
Mailing address
3616 HARDEN BLVD # 311, LAKELAND, FL 33803-5938
(407) 719-6673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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