Doctor Name: | DR. CLIFFORD J DENNEY |
NPI Number: | 1245481845 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | TRN11588 |
Business Practice Address: | 500 Winderley Pl # 115 Maitland, FL - 327517247 |
Business Phone Number: | 4078758784 |
Business Fax Number: | 4078750244 |
Mailing Address: | 754 E Michigan St, Apt 186 ORLANDO |
State: | FL |
Postal Code: | 328064655 |
Phone Number: | 3528714637 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2008 |
NPI Last Update Date: | 05/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN11588 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |