Individual
DR. MARY TRINH PENTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4727 SUNBEAM RD, SUITE 101, JACKSONVILLE, FL 32257-6107
(904) 880-0622
(904) 880-0623
Mailing address
PO BOX 13859, TALLAHASSEE, FL 32317-3859
(850) 205-6232
(855) 975-0615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME76473
FL
207N00000X
Dermatology Physician
Primary
ME76473
FL
Other
Enumeration date
08/14/2006
Last updated
06/26/2023
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