Provider Demographics
NPI:1750328811
Name:DENKER, PAUL SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SCOTT
Last Name:DENKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 PINELLAS ST STE 400
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3365
Mailing Address - Country:US
Mailing Address - Phone:727-461-8300
Mailing Address - Fax:813-265-6187
Practice Address - Street 1:430 PINELLAS ST STE 400
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3365
Practice Address - Country:US
Practice Address - Phone:727-461-8300
Practice Address - Fax:813-635-2187
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0043347207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
110043768OtherRR
FL022195900Medicaid
FL022195900Medicaid
FL62572Medicare PIN