Provider Demographics
NPI:1164754628
Name:DENNIS, CARIANNE FIONA (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:CARIANNE
Middle Name:FIONA
Last Name:DENNIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4889 LAKE WORTH RD
Mailing Address - Street 2:STE 109
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3480
Mailing Address - Country:US
Mailing Address - Phone:561-649-7532
Mailing Address - Fax:561-649-7535
Practice Address - Street 1:2900 NORTH MILITARY TRAIL
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-241-0025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9173953207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine