MEDICARE: DR. DENNIS ROY WARD 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
1	208200000X	Plastic Surgery Physician	ME38085	FL

General Provider Information

NPI Number	:	1619961125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS ROY WARD M.D.

Provider Business Mailing Address
First Line	:	201 MAITLAND AVE
Second Line	:	SUITE 1017
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4903
Country	:	US
Telephone Number	:	407-831-4454
Fax Number	:	407-831-4559

Provider Business Practice Location Address
First Line	:	201 MAITLAND AVE
Second Line	:	SUITE 1017
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-4903
Country	:	US
Telephone Number	:	407-831-4454
Fax Number	:	407-831-4559

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	07/08/2007

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