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Organization

JAIME PENIX MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME PENIX MD (PRESIDENT)
(352) 383-1245
Entity
Organization

Contact information

Practice address
3801 N HIGHWAY 19A, STE 400, MOUNT DORA, FL 32757-2228
(352) 383-1245
Mailing address
3801 N HIGHWAY 19A, STE 400, MOUNT DORA, FL 32757-2228
(352) 383-1245

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME96543
FL

Other

Enumeration date
11/29/2007
Last updated
04/09/2008
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