Individual
DR. JENNIFER EFUA AMOA FYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 AVENUE O SE, WINTER HAVEN, FL 33880-4333
(863) 294-7039
(863) 291-5963
Mailing address
2501 N ORANGE AVE, ORLANDO, FL 32804-4603
(407) 303-2528
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
AC1553237
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME91920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271289000
—
FL
Enumeration date
05/31/2006
Last updated
01/17/2023
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