M W DENKER MD PA
Ambulatory Health at Cortez Blvd, Brooksville, FL

License number
Florida ME19434
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. MARTIN W DENKER M.D.
Title: OWNER AND PRESIDENT
Phone: (352) 650-6978
Address
Address
12128 Cortez Blvd, Brooksville, FL 34613
National Provider ID: 1144560541
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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M. W. DENKER, M.D., PA

2177 Lockhart Rd, Brooksville, FL 34602

Registration:
Jan 18, 2013
State ID:
P13000006961
Business type:
Florida Profit Corporation
Secretary, Presidents:
Denker, Martin W, Dr, 2177 Lockhart Rd, Brooksville, FL 34602 (Physical),Martin W. Denker (Secretary, President)
Agent:
Martin Denker,2177 Lockhart Rd, Brooksville, FL 34602 (Physical)
EIN:
46-1877017

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