Individual
DENNIS ANTHONY NINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 W JEFFERSON ST, BROOKSVILLE, FL 34601-2518
(352) 799-7073
(352) 799-7673
Mailing address
620 W JEFFERSON ST, BROOKSVILLE, FL 34601-2518
(352) 799-7073
(352) 799-7673
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
ME29080
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME29080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259403000
—
FL
Enumeration date
04/07/2006
Last updated
02/17/2020
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