Individual
DR. JOLANDA M DENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1717 S ORANGE AVE, SUITE #100, ORLANDO, FL 32806-2944
(407) 650-7000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
35088613
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME93333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2679972
—
OH
01
—
WH4195222
MEDICARE
OH
Enumeration date
04/20/2006
Last updated
12/17/2013
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