Organization
JACQUELINE B PEVNY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQELINE B PEVNY MD (PRESIDENT)
(917) 699-4391
Entity
Organization
Contact information
Practice address
4201 N OCEAN BLVD APT C302, BOCA RATON, FL 33431-5359
(917) 699-4391
Mailing address
4201 N OCEAN BLVD APT C302, BOCA RATON, FL 33431-5359
(917) 699-4391
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
ME81382
FL
Other
Enumeration date
08/28/2009
Last updated
08/19/2024
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