Individual
DR. JAMES WILLIARD DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP SURGERY DEPT, JACKSONVILLE, FL 32209-6511
(904) 244-3925
(904) 244-3870
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME52194
FL
2086S0102X
Surgical Critical Care Physician
ME52194
FL
2086S0129X
Vascular Surgery Physician
Primary
ME52194
FL
Other
Enumeration date
02/09/2006
Last updated
12/02/2007
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