Individual
DR. JOHN EDWIN DENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
Mailing address
PO BOX 3130, OCALA, FL 34478-3130
(352) 867-8311
(352) 867-1053
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME52193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047649800
—
FL
01
—
04928
BCBS
FL
Enumeration date
12/01/2005
Last updated
01/13/2009
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