Dennie, John Edwin

Dennie, John Edwin is an sole proprietor health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dennie, John Edwin can be contacted via phone (352) 253-3333.

Contact Information

Primary practice address
1000 Waterman Way Tavares FL 32778-5266
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME52193 Florida

Profile Details

NPI number 1326022500
LBN Legal business name Dennie, John Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2005
Last updated Jan 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326022500 NPPES
Florida MEDICAID 047649800
Florida Other 04928

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