Individual
MR. DENNIS UMALI ATIENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6072 DOCTORS PARK, MILTON, FL 32570-5072
(850) 626-5447
(850) 936-5808
Mailing address
6072 DOCTORS PARK, MILTON, FL 32570-5072
(850) 626-5447
(850) 936-5808
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02004255
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000833372
BLUE CROSS/BLUE SHIELD
IN
05
—
201182850
—
IN
Enumeration date
08/01/2005
Last updated
09/26/2023
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