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Individual

DENNIS M HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905
Mailing address
1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME0036480
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160011830
RAILROAD MEDICARE
FL
01
41171
BCBS
FL
Enumeration date
04/17/2006
Last updated
05/21/2008
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