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Individual

DR. JESUS L PENABAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14100 FIVAY RD, STE 250, HUDSON, FL 34667-7151
(727) 869-7822
(727) 862-0934
Mailing address
14100 FIVAY RD, STE 250, HUDSON, FL 34667-7151
(727) 869-7822
(727) 862-0934

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0066672
FL

Other

Enumeration date
05/31/2005
Last updated
07/08/2007
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