Individual
DR. STANLEY ROBERT DENNISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509
(813) 876-7600
(813) 876-7675
Mailing address
1921 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6509
(813) 876-7600
(813) 876-7675
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME0069243
FL
2086S0129X
Vascular Surgery Physician
ME69243
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME0069243
FL
Other
Enumeration date
11/22/2006
Last updated
04/04/2017
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