Provider Demographics
NPI:1598377020
Name:DUMA, DENNIS (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:DUMA
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4534 SW 63RD ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4802
Mailing Address - Country:US
Mailing Address - Phone:352-804-8426
Mailing Address - Fax:
Practice Address - Street 1:4534 SW 63RD ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4802
Practice Address - Country:US
Practice Address - Phone:352-804-8426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008687363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology