| M W Denker Md Pa | |
|
12128 Cortez Blvd Brooksville FL 34613-5575 | |
| (352) 592-7740 | |
| (352) 592-7742 |
| Full Name | M W Denker Md Pa |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12128 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Martin W Denker (OWNER AND PRESIDENT) |
| Authorized Official Contact | 3526506978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M W Denker Md Pa 2177 Lockhart Rd Brooksville FL 34602-6208 Ph: (352) 650-6978 | M W Denker Md Pa 12128 Cortez Blvd Brooksville FL 34613-5575 Ph: (352) 592-7740 |
| NPI Number | 1144560541 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144560541 | NPI | - | NPPES |
| 039766100 | Medicaid | FL | |
| 29683 | Other | FL | BC/BS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | ME19434 (Florida) | Primary |
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