Individual
DR. JACOB PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1641 TAMIAMI TRL, PORT CHARLOTTE, FL 33948-1018
(941) 629-6262
(941) 629-1782
Mailing address
1641 TAMIAMI TRL, PORT CHARLOTTE, FL 33948-1018
(941) 629-6262
(941) 629-1782
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
OS17460
FL
Other
Enumeration date
02/26/2015
Last updated
03/03/2023
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