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Individual

SUSAN MARIE DENNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1500 CONCORD TER, SUNRISE, FL 33323-2815
(800) 243-3839
(954) 858-0404
Mailing address
1300 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33323-2826
(800) 243-3839

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
ME 98499
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278011900
FL
01
AT780Z
MEDICARE PTAN
FL
Enumeration date
04/03/2007
Last updated
06/20/2014
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