Individual
DR. JAMES W PENUEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7152 COCA SABAL LN, FT MYERS, FL 33908-4263
(239) 939-9939
(239) 931-5060
Mailing address
7152 COCA SABAL LN, FT MYERS, FL 33908-4263
(239) 939-9939
(239) 931-5060
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0040176
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068036200
—
FL
01
—
36320
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/22/2005
Last updated
03/31/2014
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