Provider Demographics
NPI:1518993005
Name:DENEAU, LLOYD ALLEN
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:ALLEN
Last Name:DENEAU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4832 EVERHART DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-6407
Mailing Address - Country:US
Mailing Address - Phone:813-929-8937
Mailing Address - Fax:813-929-8937
Practice Address - Street 1:4832 EVERHART DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-6407
Practice Address - Country:US
Practice Address - Phone:813-929-8937
Practice Address - Fax:813-929-8937
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19469225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE8548Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER