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NPI Code Detail

MEDICARE: DR. OLIVIA NICOLE DENNIS M.D.

MEDICARE:  DR. OLIVIA NICOLE DENNIS  M.D.
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
1207Q00000XFamily Medicine PhysicianME98084FL

Other Identifiers

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

General Provider Information

NPI Number : 1548474273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. OLIVIA NICOLE DENNIS M.D.
Provider Business Mailing Address
First Line : 11550 UNIVERSITY BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-2100
Country : US
Telephone Number : 407-384-0080
Fax Number :
Provider Business Practice Location Address
First Line : 11550 UNIVERSITY BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-2100
Country : US
Telephone Number : 407-384-0080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 10/02/2015

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Directions to “ DR. OLIVIA NICOLE DENNIS M.D.” Practice Location

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