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NPI Code Detail

MEDICARE: MR. DENNIS UMALI ATIENZA DO

MEDICARE: MR. DENNIS UMALI ATIENZA DO
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
1207V00000XObstetrics & Gynecology Physician02004255IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000833372OTHERINBLUE CROSS/BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225038235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS UMALI ATIENZA DO
Provider Business Mailing Address
First Line : 6072 DOCTORS PARK
Second Line :
City : MILTON
State : FL
Zip : 32570-5072
Country : US
Telephone Number : 850-626-5447
Fax Number : 850-936-5808
Provider Business Practice Location Address
First Line : 6072 DOCTORS PARK
Second Line :
City : MILTON
State : FL
Zip : 32570-5072
Country : US
Telephone Number : 850-626-5447
Fax Number : 850-936-5808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2005
Last Update Date : 09/26/2023

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