Individual
JACQUELINE B PEVNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
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
(561) 265-5035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME81382
FL
Other
Enumeration date
11/10/2006
Last updated
08/19/2024
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