Organization
BRENT DENLEY D O P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT DENLEY (PRESIDENT)
(850) 215-2344
Entity
Organization
Contact information
Practice address
221 E 23RD ST, SUITE C, PANAMA CITY, FL 32405-7612
(850) 215-2344
Mailing address
221 E. 23RD ST., SUITE C, PANAMA CITY, FL 32405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47194
BCBS
FL
Enumeration date
12/24/2007
Last updated
12/24/2007
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