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Individual

DANIEL SULLIVAN DENNISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6518 SURFSIDE BLVD, APOLLO BEACH, FL 33572-3008
(813) 645-0510
(813) 645-0510
Mailing address
6518 SURFSIDE BLVD, APOLLO BEACH, FL 33572-3008
(813) 645-0510
(813) 645-0510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 22305
FL

Other

Enumeration date
07/02/2013
Last updated
07/02/2013
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