MEDICARE: DR. DENNIS MICHAEL LISTON M.D. P.A

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	2084P0800X	Psychiatry Physician	ME0059446	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316995855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS MICHAEL LISTON M.D. P.A

Provider Business Mailing Address
First Line	:	4800 NE 20TH TER
Second Line	:	SUITE 202
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4510
Country	:	US
Telephone Number	:	954-492-4525
Fax Number	:	954-492-4535

Provider Business Practice Location Address
First Line	:	4800 NE 20TH TER
Second Line	:	SUITE 202
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4510
Country	:	US
Telephone Number	:	954-492-4525
Fax Number	:	954-492-4535

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	03/23/2016

Similar Medicare Providers

1518519792 — DANIEL PEDRO VERGARA
Practice Location Address:

4800 NE 20TH TER STE 303
FORT LAUDERDALE, FL
33308-4510

Practice Phone: 954-771-8177
Practice Fax: 954-771-3629

1700713690 — JAVIER GARCIA PSYCHIATRY & WELLNESS CENTER
Practice Location Address:

4800 NE 20TH TER STE 101
FORT LAUDERDALE, FL
33308-4510

Practice Phone: 754-200-6565
Practice Fax: 954-566-2150

1316932296 — DR. DANIEL SCOTT KOSCHES M.D.
Practice Location Address:

4800 NE 20TH TER STE 115
FORT LAUDERDALE, FL
33308-4510

Practice Phone: 954-267-8866
Practice Fax: 954-267-0939

1275511289 — ZACHARIAH P ZACHARIAH MD
Practice Location Address:

4800 NE 20TH TER STE 201
FORT LAUDERDALE, FL
33308-4510

Practice Phone: 954-772-2200
Practice Fax: 954-772-2236

1174578991 — DR. MARIA CHATANI DMD
Practice Location Address:

4800 NE 20TH TER , SUITE 301 SOUTH
FORT LAUDERDALE, FL
33308-4510

Practice Phone: 954-727-9865
Practice Fax: 954-727-9904

1588672430 — ENAS AL-KHADRA DDS
Practice Location Address:

4800 NE 20TH TER STE 301
FORT LAUDERDALE, FL
33308-4510

Practice Phone: 954-727-9865
Practice Fax: 954-727-9940

Directions to “ DR. DENNIS MICHAEL LISTON M.D. P.A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.