Provider Demographics
NPI:1912186339
Name:VOGELZANG, DENISE LEE
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:LEE
Last Name:VOGELZANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 141644
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32614-1644
Mailing Address - Country:US
Mailing Address - Phone:352-373-2527
Mailing Address - Fax:
Practice Address - Street 1:701 SW 62ND BLVD # 34
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6012
Practice Address - Country:US
Practice Address - Phone:352-373-2527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician