Individual
DR. DENIS PRIMAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2627 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 32935-8303
(321) 837-3820
Mailing address
2627 W EAU GALLIE BLVD STE 101, MELBOURNE, FL 32935-8303
(321) 837-3820
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME156759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114342000
—
FL
01
—
S2479
MEDICARE HF
FL
Enumeration date
04/24/2008
Last updated
11/18/2025
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