Mayeaux, Dennis

Mayeaux, Dennis is an individual health care provider with primary practice located at 5907 Berryhill Rd , Milton FL 32570-8278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mayeaux, Dennis can be contacted via phone (850) 623-9787.

Contact Information

Primary practice address
5907 Berryhill Rd Milton FL 32570-8278
Fax: (850) 626-7512
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME38612 Florida

Profile Details

NPI number 1528079340
LBN Legal business name Mayeaux, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 16th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528079340 NPPES
Florida MEDICAID 0674133-00

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