Individual
DR. JENNY WIEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4255
Mailing address
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952-5000
(941) 766-4255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0076315
MD
207P00000X
Emergency Medicine Physician
ME154764
FL
Other
Enumeration date
05/03/2011
Last updated
06/01/2022
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