Provider Demographics
NPI:1114998796
Name:DENNEY, CAROLYN FRANCES (MD)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:FRANCES
Last Name:DENNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:FRANCES
Other - Last Name:DENNEY-REID
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4420 SHERIDAN STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3552
Mailing Address - Country:US
Mailing Address - Phone:954-962-0040
Mailing Address - Fax:954-962-7901
Practice Address - Street 1:4420 SHERIDAN STREET
Practice Address - Street 2:SUITE A
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3552
Practice Address - Country:US
Practice Address - Phone:954-962-0040
Practice Address - Fax:954-962-7901
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76962207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE1310ZMedicare PIN
G71671Medicare UPIN