Individual
JEFFREY JENTINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 E 2ND PL, PANAMA CITY, FL 32401-3807
(850) 532-4197
Mailing address
608 E 2ND PL, PANAMA CITY, FL 32401-3807
(850) 532-4197
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
146785
FL
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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