Provider Demographics
NPI:1235208133
Name:DENIS, JAMES YVES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YVES
Last Name:DENIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1233 45TH ST STE B4
Mailing Address - Street 2:
Mailing Address - City:MANGONIA PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2162
Mailing Address - Country:US
Mailing Address - Phone:561-250-0000
Mailing Address - Fax:561-842-3612
Practice Address - Street 1:1233 45TH ST STE B4
Practice Address - Street 2:
Practice Address - City:MANGONIA PARK
Practice Address - State:FL
Practice Address - Zip Code:33407-2162
Practice Address - Country:US
Practice Address - Phone:561-250-0000
Practice Address - Fax:561-842-3612
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16,495208D00000X
FLACN250208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLBC746ZMedicare PIN