Individual
PAUL KENNETH RENTIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
(386) 754-6423
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
(386) 754-6423
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
E9944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084632101
—
TX
Enumeration date
08/02/2006
Last updated
05/08/2014
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