Denenburg, Rostislav

Denenburg, Rostislav is an individual health care provider with primary practice located at 4343 W Newberry Rd Suite 7, Gainesville FL 32607-2824. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Denenburg, Rostislav can be contacted via phone (352) 331-3077.

Contact Information

Primary practice address
4343 W Newberry Rd Suite 7 Gainesville FL 32607-2824
Fax: (352) 331-3265
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003898 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO4431 Florida

Profile Details

NPI number 1174929442
LBN Legal business name Denenburg, Rostislav
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2014
Last updated Dec 11th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174929442 NPPES
Florida MEDICAID 115116100

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