Individual
STEPHEN RANDALL DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
725 RODEL CV STE 100, LAKE MARY, FL 32746-4859
(407) 977-4130
(407) 977-4139
Mailing address
725 RODEL CV, STE 100, LAKE MARY, FL 32746-4859
(407) 977-4130
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9106142
FL
Other
Enumeration date
10/27/2011
Last updated
03/28/2019
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