Provider Demographics
NPI:1982979852
Name:PAUL S DENKER MD PA
Entity Type:Organization
Organization Name:PAUL S DENKER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DENKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-441-4581
Mailing Address - Street 1:417 CORBETT ST
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3305
Mailing Address - Country:US
Mailing Address - Phone:727-441-4581
Mailing Address - Fax:
Practice Address - Street 1:417 CORBETT ST
Practice Address - Street 2:
Practice Address - City:BELLEAIR
Practice Address - State:FL
Practice Address - Zip Code:33756-3305
Practice Address - Country:US
Practice Address - Phone:727-441-4581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL43347261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL041725400Medicaid
FL62571Medicare PIN
FLD57500Medicare UPIN