IndividualActive
Mary Derbenwick, M.D.
NPI 1063405975 · Vascular Neurology Physician · Daytona Beach, FL
Provider details
- NPI number
- 1063405975
- Entity type
- Individual
- Primary specialty
- Vascular Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- ME0028487 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone: (386) 238-3244
Fax: (386) 238-3269
Approximate (ZIP-level) locationGet directions
Mailing address
350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Registry dates
- Enumerated
- 2005-08-25
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.