Organization
DEAN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BYRON RENARD DEAN D.O. (PHYSICIAN)
(863) 937-7157
Entity
Organization
Contact information
Practice address
1500 LAKELAND HILLS BLVD STE 4, LAKELAND, FL 33805-3257
(863) 937-7157
(863) 333-0260
Mailing address
3616 HARDEN BLVD # 311, LAKELAND, FL 33803-5938
(863) 937-7157
(863) 333-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS9203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245345600
—
FL
Enumeration date
02/16/2011
Last updated
11/05/2023
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