Dennis M Liston M.D. P.A.

LBN: Dennis M Liston Md Pa
Dennis M Liston M.D. P.A. is an health care organization with primary practice located at 2151 E Commercial Blvd Suite 304, Fort Lauderdale FL 33308-4347. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Dennis M Liston Md Pa can be contacted via phone (954) 492-4525, or through Liston, Dennis Michael via phone (954) 492-4525.

Contact Information

Primary practice address
2151 E Commercial Blvd Suite 304 Fort Lauderdale FL 33308-4347
Phone: (954) 492-4525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liston, Dennis Michael M.D. P.A
Phone: (954) 492-4525

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME-0059446 Florida

Profile Details

NPI number 1619989308
LBN Legal business name Dennis M Liston Md Pa
DBA Doing business as Dennis M Liston M.D. P.A.
Authorized official Liston, Dennis Michael M.D. P.A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 22nd, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619989308 NPPES
Florida MEDICAID 277406200

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