Grogan, Dennis Paul

Grogan, Dennis Paul is an individual health care provider with primary practice located at 12502 Usf Pine Dr , Tampa FL 33612-9411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Grogan, Dennis Paul can be contacted via phone (813) 975-7130.

Contact Information

Primary practice address
12502 Usf Pine Dr Tampa FL 33612-9411
Fax: (813) 975-7129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME45510 Florida

Profile Details

NPI number 1336113380
LBN Legal business name Grogan, Dennis Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Nov 27th, 2012 - about 12 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 1336113380 NPPES
Florida MEDICAID 047888100

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