Mary June Derbenwick M.D.

NPI 1063405975 - Psychiatry & Neurology - 2084V0102X

NPI Details
NPI 1063405975
Gender Female
Enumeration Date 08/25/2005
Last Updated 02/22/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
350 N CLYDE MORRIS BLVD
DAYTONA BEACH FL, 32114-2733, US
Phone (386) 238-3244
Fax (386) 238-3269
Business Location
PO BOX 9671
DAYTONA BEACH FL, 32120-9671, US
Phone (386) 676-7130
Fax (386) 238-3269
Toxanomy
Taxonomy Code 2084V0102X
License State Florida
License Number ME0028487
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According to our database, Dr. Mary June Derbenwick M.D. NPI is 1063405975, taxonomy code is 2084V0102X and license number is ME0028487, license state is located at Florida. Mary June Derbenwick M.D. physically located at 350 N Clyde Morris Blvd, Daytona Beach FL, 32114-2733. NPI Number Mary June Derbenwick M.D. has the Individual type.

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1063405975 NPI number is provided on an as is basis without warranty of any kind. 1063405975 is maintained by the National Plan & Provider Enumeration System. The contents of Mary June Derbenwick M.D. are for informational purposes only.