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Individual

MR. ALBERT C DENAULT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
311 MANATEE AVE E, BRADENTON, FL 34208
(941) 749-0626
(941) 749-0618
Mailing address
311 MANATEE AVE E, BRADENTON, FL 34208-1933
(941) 749-0626
(941) 749-0618

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2367
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
390163700
FL
Enumeration date
11/21/2005
Last updated
01/22/2013
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