Advanced Adult Medicine, Inc

Organization Active NPI Internal Medicine Physician · Brandon, FL

NPI 1043723752 · NPPES record last updated Nov 16, 2017

Key facts

NPI
1043723752
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
ADVANCED ADULT MEDICINE, INC
Practice address
1127 Nikki View Dr
Brandon, FL 33511-4879
Phone
(813) 876-7600
Fax
(813) 533-7377
NPI assigned
Nov 16, 2017
Organization subpart
No

Authorized official

Name
Dr. Stanley R Dennison Jr., MD, MBA
Title
Owner
Phone
(813) 876-7600

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

1127 Nikki View Dr
Brandon, FL 33511-4879

Mailing address

1921 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6509

Other providers in Brandon, FL

All providers in Brandon, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.