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NPI Code Detail

MEDICARE: MR. SEBASTIEN DENIS

MEDICARE: MR. SEBASTIEN DENIS
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
12255A2300XAthletic Trainer
2363A00000XPhysician AssistantPA55996CA

General Provider Information

NPI Number : 1588155543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEBASTIEN DENIS
Provider Business Mailing Address
First Line : 950 NW 20TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33127-4622
Country : US
Telephone Number : 305-510-9017
Fax Number :
Provider Business Practice Location Address
First Line : 950 NW 20TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33127-4622
Country : US
Telephone Number : 305-510-9017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2018
Last Update Date : 11/15/2018

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Directions to “ MR. SEBASTIEN DENIS ” Practice Location

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