Provider Demographics
NPI:1831904242
Name:DEMBY, PAUL ISAAC (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ISAAC
Last Name:DEMBY
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 1:11579 NW 72ND PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3352
Mailing Address - Country:US
Mailing Address - Phone:954-344-0101
Mailing Address - Fax:
Practice Address - Street 1:11579 NW 72ND PL
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-3352
Practice Address - Country:US
Practice Address - Phone:954-344-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ129965207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery