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Individual

MICHAEL GARY DEMNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
8787 BRYAN DAIRY RD, SUITE 350, LARGO, FL 33777-1251
(727) 391-1913
(727) 319-2713
Mailing address
8787 BRYAN DAIRY RD, SUITE 350, LARGO, FL 33777-1251
(727) 391-1913
(727) 319-2713

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P01338
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87709
BCBS
Enumeration date
07/24/2006
Last updated
07/08/2007
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