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Organization

MARTA JACENYIK LLC

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Organization

MARTA JACENYIK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTA JACENYIK (PRESIDENT)
(850) 934-9866
Entity
Organization

Contact information

Practice address
3759 BENGAL RD, GULF BREEZE, FL 32563-3454
(850) 934-9866
Mailing address
PO BOX 1171, GULF BREEZE, FL 32562-1171

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME67496
FL

Other

Enumeration date
02/01/2007
Last updated
03/03/2014
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