Individual
JENSEN L GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 KUHL AVE, ORLANDO, FL 32806
(407) 464-9516
(407) 464-9519
Mailing address
PO BOX 160939, ALTAMONTE SPRINGS, FL 32716-0939
(407) 464-9516
(407) 464-9519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME82575
FL
208M00000X
Hospitalist Physician
Primary
ME82575
FL
Other
Enumeration date
07/20/2006
Last updated
08/03/2017
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