Individual
DR. MIRIAH BETH DENBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 S. KINGS AVENUE,, SUITE 3000, BRANDON, FL 33511-6066
(813) 681-6625
(813) 684-6043
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME138771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102501700
—
FL
01
—
NNMQL
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/31/2007
Last updated
03/03/2022
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