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Organization
JENA MEDICAL GROUP, LLC
Active
Organization
JENA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN WEISS (PRESIDENT)
(347) 542-6360
Entity
Organization
Contact information
Practice address
926 SAXON BLVD, ORANGE CITY, FL 32763-8313
(386) 774-1881
(386) 774-1264
Mailing address
302 ADAMS CT, EDGEWATER, NJ 07020-1655
(347) 542-6360
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/17/2017
Last updated
02/03/2021
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