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Contact Information

ALBERT C DENAULT II, DPM
311 MANATEE AVE E
BRADENTON, FL34208
 Phone: 941-749-0626
 Fax: 941-749-0618
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALBERT C DENAULT II · (Male)

NPI # 1689656019
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/21/2005
Last updated 01/22/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO2367
  • FL Medicaid 390163700
Hospital affiliation(s)
  • MANATEE MEMORIAL HOSPITAL - (Acute Care)
    206 2ND ST E
    BRADENTON, FL 34208
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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