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Individual

DR. GINA LOU PENAFLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3496 NW FEDERAL HWY, JENSEN BEACH, FL 34957-4441
(772) 223-5612
(772) 223-5689
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME79563
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270599100
FL
Enumeration date
04/25/2006
Last updated
04/25/2013
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