Individual
DR. GARY ALLAN FENNIG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
17262
FL
207L00000X
Anesthesiology Physician
34 010736
OH
207L00000X
Anesthesiology Physician
Primary
OS17262
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2009
Last updated
02/01/2022
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