Basic Information
Provider Information
NPI: 1861735888
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DENSON
FirstName: AARON
MiddleName: CLEVELAND
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 14690 SPRING HILL DR
Address2: SUITE 305
City: SPRING HILL
State: FL
PostalCode: 346098102
CountryCode: US
TelephoneNumber: 3522775348
FaxNumber: 3526062857
Practice Location
Address1: 15211 CORTEZ BLVD
Address2:  
City: BROOKSVILLE
State: FL
PostalCode: 346136072
CountryCode: US
TelephoneNumber: 3523454565
FaxNumber: 3525966051
Other Information
ProviderEnumerationDate: 03/27/2013
LastUpdateDate: 06/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME126695FLN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0003XME126695FLY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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