Organization
M W DENKER MD PA
Active
Organization
M W DENKER MD PA
Active
Other names
Martin W Denker M D P A
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN W DENKER M.D. (OWNER AND PRESIDENT)
(352) 650-6978
Entity
Organization
Contact information
Practice address
12128 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 592-7740
(352) 592-7742
Mailing address
2177 LOCKHART RD, BROOKSVILLE, FL 34602-6208
(352) 650-6978
(352) 583-5263
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
ME19434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039766100
—
FL
01
—
29683
BC/BS PROVIDER NUMBER
FL
Enumeration date
02/21/2013
Last updated
04/16/2013
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