DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROL LAVERN DENNIS

Active Sole Proprietor

CAROL LAVERN DENNIS is a 2279H0200X healthcare provider located in JACKSONVILLE, Florida. NPI 1639718372 is currently active in the NPPES registry. Verify at CMS.

2279H0200X · JACKSONVILLE, FL

Registration Details

NPI Number
1639718372
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2019 (6.6639057897616 yrs)
Last Updated
Dec 28, 2019
Sole Proprietor
Yes

Practice Information

Address
2338 JOHNSON AVE
JACKSONVILLE, FL, 322076758
Browse FL providers · Browse ZIP 32207
Phone
9047049121
Primary Specialty
2279H0200X
2279H0200X

Other 2279H0200X Providers in JACKSONVILLE, FL

Name Credential NPI
SHAMEIKA FERANDA DOWELL 1225991946
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.