Individual
MR. MARC JERRY DENEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPSGT
Contact information
Practice address
5901 BROKEN SOUND PKWY, BOCA RATON, FL 33487-2773
(800) 875-8999
(561) 367-1175
Mailing address
148 VERNON WHITE RD, WINTERVILLE, NC 28590-8624
(252) 347-2751
(252) 355-5857
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
662
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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