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Individual

DENNIS D DEWEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2310 VILLAGE SQUARE PKWY STE 202, FLEMING ISLAND, FL 32003-6351
(904) 516-1880
(904) 516-1885
Mailing address
PO BOX 746649, ATLANTA, GA 30374-6649
(904) 376-4400
(904) 391-5595

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME47968
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140001558
RAILROAD MEDICARE
FL
01
14167
BCBS
FL
Enumeration date
11/09/2005
Last updated
01/18/2023
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