Individual
DEANNA L DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-8262
(651) 241-5248
Mailing address
1140 SINGER DR, RIVIERA BEACH, FL 33404-2760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
43497
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101598200
—
MN
Enumeration date
07/21/2006
Last updated
05/11/2021
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