MEDICARE: JEFFREY S DENNIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME35782	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225027055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY S DENNIS MD

Provider Business Mailing Address
First Line	:	1700 NW 49TH ST STE 125
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3750
Country	:	US
Telephone Number	:	954-785-0300
Fax Number	:	954-785-0229

Provider Business Practice Location Address
First Line	:	1 W SAMPLE RD
Second Line	:	STE 204
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-3547
Country	:	US
Telephone Number	:	954-785-0300
Fax Number	:	954-785-0229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	03/07/2023

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