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NPI Code Detail

MEDICARE: DEAN ALLEN MYNKS M.A.,C.P.R.P.

MEDICARE: DEAN ALLEN MYNKS M.A.,C.P.R.P.
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1235265745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEAN ALLEN MYNKS M.A.,C.P.R.P.
Provider Business Mailing Address
First Line : 2900 W PROSPECT RD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-2519
Country : US
Telephone Number : 954-731-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2900 W PROSPECT RD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33309-2519
Country : US
Telephone Number : 954-731-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2007
Last Update Date : 07/08/2007

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