Organization
CD MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIANNE DENNIS FNP-BC (OWNER)
(561) 891-8985
Entity
Organization
Contact information
Practice address
3537 SW PRINCETON ST, PORT ST LUCIE, FL 34953-3726
(561) 891-8985
Mailing address
3537 SW PRINCETON ST, PORT ST LUCIE, FL 34953-3726
(561) 891-8985
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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