Healthcare Provider Details

I. General information

NPI: 1598866790
Provider Name (Legal Business Name): ALLEN R DENNIS JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 S STATE ROAD 7
HOLLYWOOD FL
33023-6718
US

IV. Provider business mailing address

6255 W SUNSET BLVD FL 21
LOS ANGELES CA
90028-7422
US

V. Phone/Fax

Practice location:
  • Phone: 954-743-5522
  • Fax: 954-743-5632
Mailing address:
  • Phone: 323-860-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP4155
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberP4155
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: