Individual
DR. JOHN DEREK DENIGRIS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2590 HEALING WAY STE 220, WESLEY CHAPEL, FL 33543-5496
(847) 381-8899
Mailing address
2590 HEALING WAY STE 220, WESLEY CHAPEL, FL 33543-5496
(847) 381-8899
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME142769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.165455
IL LICENSE
IL
01
—
ME142769
FL LICENSE
FL
Enumeration date
04/05/2016
Last updated
09/25/2023
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