Individual
DR. JENNIFER S. THIELHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 N MAITLAND AVE STE 102, MAITLAND, FL 32751-4499
(407) 660-7000
(407) 660-7106
Mailing address
800 N MAITLAND AVE STE 102, MAITLAND, FL 32751-4499
(407) 660-7000
(407) 660-7106
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME64039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375714500
—
FL
Enumeration date
10/31/2005
Last updated
07/31/2020
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