Individual
DR. CLIFFORD J DENNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WINDERLEY PL, # 115, MAITLAND, FL 32751-7247
(407) 875-8784
(407) 875-0244
Mailing address
754 E MICHIGAN ST, APT 186, ORLANDO, FL 32806-4655
(352) 871-4637
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0106797
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN11588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002343600
—
FL
01
—
148RL
BCBS
FL
Enumeration date
10/02/2008
Last updated
05/15/2012
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