Provider Demographics
NPI:1851309504
Name:PRICE, DENVER CHARLES (RPFT,CRT-NPS,RPFT)
Entity Type:Individual
Prefix:MR
First Name:DENVER
Middle Name:CHARLES
Last Name:PRICE
Suffix:
Gender:M
Credentials:RPFT,CRT-NPS,RPFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 LAKE POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-9580
Mailing Address - Country:US
Mailing Address - Phone:352-255-9878
Mailing Address - Fax:
Practice Address - Street 1:2252 LAKE POINTE CIR
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9580
Practice Address - Country:US
Practice Address - Phone:352-255-9878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT00033302278P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Diagnostics