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Individual

DR. JEFFREY STUART PENNER

Active
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Individual

DR. JEFFREY STUART PENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME0030380
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME30380
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037798800
—
FL
01
—
206593
AVMED
FL
01
—
50805
BCBS
FL
Enumeration date
09/21/2006
Last updated
01/27/2022
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