Individual
DR. DENNIS DOORNEWEERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1133 6TH ST, DAYTONA BEACH, FL 32117-4142
(386) 253-6959
(386) 253-5967
Mailing address
1804 CHANDELLE CT, PORT ORANGE, FL 32128-6736
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0034950
FL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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