# OUTPATIENT CLINIC AT PENNEY RETIREMENT COMMUNITY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENNEY RETIREMENT COMMUNITY, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578919080
- **Legal business name:** PENNEY RETIREMENT COMMUNITY, INC.
- **Authorized official:** TERESA SCOTT (PRESIDENT)
- **Authorized official phone:** (904) 531-7022

## Contact information

- **Practice address:** 2 NORTH PAVILION PLACE, PENNEY FARMS, FL 32079
- **Practice address phone:** (904) 531-7022
- **Mailing address:** 2 NORTH PAVILION PLACE, PENNEY FARMS, FL 32079
- **Mailing address phone:** (904) 531-7022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2016
- **Last updated:** 05/13/2016