Individual
DR. ANTHONY DOMINICK DERENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-5168
Mailing address
1147 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 333-5168
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS18108
FL
Other
Enumeration date
03/27/2019
Last updated
02/08/2023
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