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Individual

DR. DENVER BRILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3955 58TH ST N, ST PETERSBURG, FL 33709
(727) 347-2557
(727) 345-8972
Mailing address
3955 58TH ST N, ST PETERSBURG, FL 33709-6003
(727) 347-2557
(727) 345-8972

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A16159
CA
207R00000X
Internal Medicine Physician
Primary
OS15745
FL
207R00000X
Internal Medicine Physician
OT016121
PA

Other

Enumeration date
06/17/2014
Last updated
10/24/2019
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