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Individual

DR. DAVID JOHN PENNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AC,PHYS.,L.M.T.

Contact information

Practice address
4701 N FEDERAL HWY STE 311, POMPANO BEACH, FL 33064-6548
(954) 993-7502
Mailing address
4701 NORTH FEDERAL HWY STE 311, POMPANO, FL 33064-6562
(954) 993-7502

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP215
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C0079
BLUE CROSS BLUE SHIELD PROVIDER ID
FL
Enumeration date
09/14/2012
Last updated
09/14/2012
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