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Individual
DR. ZACHARY WILLIAM PENROD
Active
Individual
DR. ZACHARY WILLIAM PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS20841
FL
208M00000X
Hospitalist Physician
Primary
OS20841
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121774400
—
FL
Enumeration date
04/23/2020
Last updated
04/05/2024
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