Individual
DR. HENRY PICKETT DUMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 E PRINCETON ST, STE 400, ORLANDO, FL 32803-1469
(407) 894-8556
(407) 894-7689
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 0026677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059602701
—
FL
01
—
48889U
MEDICARE
FL
Enumeration date
05/23/2005
Last updated
02/03/2010
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