Liston, Dennis Michael

Liston, Dennis Michael is an individual health care provider with primary practice located at 4800 Ne 20Th Ter Suite 202, Fort Lauderdale FL 33308-4510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Liston, Dennis Michael can be contacted via phone (954) 492-4525.

Contact Information

Primary practice address
4800 Ne 20Th Ter Suite 202 Fort Lauderdale FL 33308-4510
Phone: (954) 492-4525
Fax: (954) 492-4535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME0059446 Florida

Profile Details

NPI number 1316995855
LBN Legal business name Liston, Dennis Michael
Credentials M.D. P.A
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 23rd, 2016 - about 8 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 1316995855 NPPES
Florida MEDICAID 370574901

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