Individual
DR. DENNIS L COLLEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 S FORT HARRISON AVE, STE C, CLEARWATER, FL 33756-3301
(727) 441-3366
(727) 442-8171
Mailing address
1305 S FORT HARRISON AVE, STE C, CLEARWATER, FL 33756-3301
(727) 441-3366
(727) 442-8171
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME30562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068046000
—
FL
01
—
110010623
RAILROAD MEDICARE
FL
01
—
4045574
AETNA
FL
01
—
62379
BC/BS
FL
Enumeration date
06/28/2005
Last updated
01/29/2010
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