| Dennis D. Dewey, M.d., P.a. | |
|
1895 Kingsley Ave Ste 805 Orange Park FL 32073-4410 | |
| (904) 276-2220 | |
| (904) 276-2578 |
| Full Name | Dennis D. Dewey, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1895 Kingsley Ave Ste 805, Orange Park, Florida |
| Authorized Official Name and Position | Dennis D Dewey (PRESIDENT) |
| Authorized Official Contact | 9042762220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis D. Dewey, M.d., P.a. Po Box 17809 Jacksonville FL 32245-7809 Ph: (904) 723-5665 | Dennis D. Dewey, M.d., P.a. 1895 Kingsley Ave Ste 805 Orange Park FL 32073-4410 Ph: (904) 276-2220 |
| NPI Number | 1073840435 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073840435 | NPI | - | NPPES |
| 14167 | Other | FL | BCBS |
| DP9414 | Other | FL | R.R. MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME47968 (Florida) | Primary |
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