Brent Denley D O P A
Family Medicine in Panama City, FL. Organization (NPI-2).
NPI number1457535643
StatusActive
Last updated in NPPESDec 24, 2007
Details
- NPI
- 1457535643
- Entity type
- Organization (NPI-2)
- Legal business name
- Brent Denley D O P A
- Organization subpart
- No
- Enumeration date
- Dec 24, 2007
- Last updated
- Dec 24, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS7753 | FL | Yes |
Practice location
221 E 23rd StSuite C
Panama City, FL 32405-7612
Phone 850-215-2344
Mailing address
221 E. 23rd St.Suite C
Panama City, FL 32405
Authorized official
Brent Denley
President
8502152344
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