Organization
MARTA JACENYIK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA JACENYIK (PRESIDENT)
(850) 934-9866
Entity
Organization
Contact information
Practice address
3759 BENGAL RD, GULF BREEZE, FL 32563-3454
(850) 934-9866
Mailing address
PO BOX 1171, GULF BREEZE, FL 32562-1171
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME67496
FL
Other
Enumeration date
02/01/2007
Last updated
03/03/2014
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