Individual
JENNIFER LYN CULTRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 N US HIGHWAY 441, SUITE 540, LADY LAKE, FL 32159-8975
(352) 753-9777
(352) 753-9781
Mailing address
PO BOX 102222, ATTN: CREDENTIAL DEPT, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME104856
FL
207RX0202X
Medical Oncology Physician
Primary
ME104856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000971000
—
FL
Enumeration date
09/12/2006
Last updated
03/24/2026
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