Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH0006354 | FL |
NPI | 1821086430 |
---|---|
Provider Name | Dr. Patrick T Dennis |
First Address | West Palm Beach, FL 33406-8902 |
Second Address | West Palm Beach, FL 33406-8902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2005 |
Last Update Date | 01/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004618800 | (05) | FL |
U38379 | (02) | FL |