Organization
BRENT DENLEY DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT JAMES DENLEY DO (PRESIDENT)
(850) 215-2344
Entity
Organization
Contact information
Practice address
221 E 23RD ST, SUITE C, PANAMA CITY, FL 32405-7612
(850) 215-2344
(850) 215-2348
Mailing address
215 E. 23RD STREET, SUITE C, PANAMA CITY, FL 32405
(850) 215-2344
(850) 215-2348
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OS7753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47194
UPIN
FL
Enumeration date
01/24/2008
Last updated
01/24/2008
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