Individual
RYAN MARK DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83 COLUMBIA ST, ORLANDO, FL 32806-1106
(321) 843-3220
(321) 843-3210
Mailing address
51 PENNSYLVANIA ST, ORLANDO, FL 32806-2937
(321) 843-3220
(321) 843-3210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38509
SC
208000000X
Pediatrics Physician
38509
SC
208000000X
Pediatrics Physician
Primary
ME141202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103565900
—
FL
Enumeration date
06/17/2015
Last updated
10/21/2020
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