Provider Demographics
NPI:1245481845
Name:DENNEY, CLIFFORD J JR (MD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:J
Last Name:DENNEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 E MICHIGAN ST
Mailing Address - Street 2:APT 186
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4655
Mailing Address - Country:US
Mailing Address - Phone:352-871-4637
Mailing Address - Fax:
Practice Address - Street 1:500 WINDERLEY PL
Practice Address - Street 2:# 115
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7247
Practice Address - Country:US
Practice Address - Phone:407-875-8784
Practice Address - Fax:407-875-0244
Is Sole Proprietor?:No
Enumeration Date:2008-10-02
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN11588390200000X
FLME0106797207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002343600Medicaid
FL148RLOtherBCBS
FL148RLOtherBCBS