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Organization
JAIME PENIX MD PA
Active
Organization
JAIME PENIX MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME PENIX MD (PRESIDENT)
(352) 383-1245
Entity
Organization
Contact information
Practice address
3801 N HIGHWAY 19A, STE 400, MOUNT DORA, FL 32757-2228
(352) 383-1245
Mailing address
3801 N HIGHWAY 19A, STE 400, MOUNT DORA, FL 32757-2228
(352) 383-1245
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME96543
FL
Other
Enumeration date
11/29/2007
Last updated
04/09/2008
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