Individual
JENNIFER SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
206 N FLORIDA AVE, LAKELAND, FL 33801-4902
(863) 209-7003
(863) 274-3520
Mailing address
206 N FLORIDA AVE, LAKELAND, FL 33801-4902
(863) 209-7003
(863) 274-3520
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4524
FL
Other
Enumeration date
04/06/2021
Last updated
01/23/2025
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