Provider Demographics
NPI:1154372720
Name:SEMASHKO, DENISE CAROL (MD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:CAROL
Last Name:SEMASHKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 LURAY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33330-3617
Mailing Address - Country:US
Mailing Address - Phone:973-441-6800
Mailing Address - Fax:
Practice Address - Street 1:14100 LURAY RD
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33330-3617
Practice Address - Country:US
Practice Address - Phone:973-441-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94737207P00000X
NY161049207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE44727Medicare UPIN