Individual
MEGAN PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 N COURTENAY PKWY STE 107, MERRITT ISLAND, FL 32953-4474
(321) 453-1955
Mailing address
1395 N COURTENAY PKWY STE 107, MERRITT ISLAND, FL 32953-4474
(734) 788-2897
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9116017
FL
Other
Enumeration date
02/26/2022
Last updated
02/26/2025
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