Individual
DR. GREGORY K PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 SAN MARCO BLVD, SUITE 2, JACKSONVILLE, FL 32207-8554
(904) 202-7300
(904) 202-7377
Mailing address
PO BOX 13925, BELFAST, ME 04915-4030
(904) 389-4105
(904) 202-7377
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME90972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270909100
—
FL
Enumeration date
12/06/2005
Last updated
11/16/2015
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