Provider Demographics
NPI:1831416411
Name:DENARD, ANTONY JR (MD)
Entity type:Individual
Prefix:DR
First Name:ANTONY
Middle Name:
Last Name:DENARD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MEMORIAL MEDICAL PKWY STE 2801
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-5999
Mailing Address - Country:US
Mailing Address - Phone:386-586-1910
Mailing Address - Fax:386-586-1939
Practice Address - Street 1:61 MEMORIAL MEDICAL PKWY STE 2801
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-5999
Practice Address - Country:US
Practice Address - Phone:386-586-1910
Practice Address - Fax:386-586-1939
Is Sole Proprietor?:No
Enumeration Date:2010-04-22
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME126257207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery