Individual
DR. DYAN JENELLE HARVEY-DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4325 LYNX PAW TRL, VALRICO, FL 33594-7426
(813) 684-9600
(813) 662-9777
Mailing address
4325 LYNX PAW TRL, VALRICO, FL 33594-7426
(813) 684-9600
(813) 662-9777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271359400
—
FL
Enumeration date
07/08/2006
Last updated
07/08/2007
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