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Organization
OUTPATIENT CLINIC AT PENNEY RETIREMENT COMMUNITY, INC.
Active
Organization
OUTPATIENT CLINIC AT PENNEY RETIREMENT COMMUNITY, INC.
Active
Parent organization
PENNEY RETIREMENT COMMUNITY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENNEY RETIREMENT COMMUNITY, INC.
Authorized official
TERESA SCOTT (PRESIDENT)
(904) 531-7022
Entity
Organization
Contact information
Practice address
2 NORTH PAVILION PLACE, PENNEY FARMS, FL 32079
(904) 531-7022
Mailing address
2 NORTH PAVILION PLACE, PENNEY FARMS, FL 32079
(904) 531-7022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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