Individual
ROSTISLAV DENENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4343 W NEWBERRY RD, SUITE 7, GAINESVILLE, FL 32607-2824
(352) 331-3077
(352) 331-3265
Mailing address
4881 NW 8TH AVE, SUITE 2, GAINESVILLE, FL 32605-4582
(352) 416-1082
(352) 373-6144
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36003898
OH
213E00000X
Podiatrist
Primary
PO4431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115116100
—
FL
Enumeration date
11/13/2014
Last updated
12/11/2023
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