Individual
PAUL DAVID DERNBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ME
Contact information
Practice address
730 GOODLETTE RD N, SUITE 100, NAPLES, FL 34102-5616
(239) 262-1721
(236) 262-1045
Mailing address
730 GOODLETTE RD N, SUITE 100B, NAPLES, FL 34102-5616
(239) 262-1721
(236) 262-1045
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0061520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14803
BCBS
FL
05
—
260277600
—
FL
Enumeration date
05/15/2006
Last updated
03/07/2023
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