Organization
DEAN HILDAHL, M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN BOYD HILDAHL MD (PHYSICIAN/ OWNER)
(239) 593-5510
Entity
Organization
Contact information
Practice address
5500 BRYSON DR STE 301, NAPLES, FL 34109-0921
(239) 593-5510
(239) 593-5414
Mailing address
5500 BRYSON DR STE 301, NAPLES, FL 34109-0921
(239) 593-5510
(239) 593-5414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME72896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41706
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
09/20/2006
Last updated
08/22/2020
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