Provider Demographics
NPI:1457743973
Name:HILTON, DE'NICEA (DOM, AP)
Entity type:Individual
Prefix:
First Name:DE'NICEA
Middle Name:
Last Name:HILTON
Suffix:
Gender:F
Credentials:DOM, AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 2ND ST S
Mailing Address - Street 2:STE A
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4014
Mailing Address - Country:US
Mailing Address - Phone:727-433-8314
Mailing Address - Fax:
Practice Address - Street 1:405 2ND ST S
Practice Address - Street 2:STE A
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-4014
Practice Address - Country:US
Practice Address - Phone:727-433-8314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist