Individual
JAMES PATRICK ENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0001
(612) 245-6357
Mailing address
1600 SW ARCHER RD, PO BOX 100254, GAINESVILLE, FL 32610-0001
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME157168
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/09/2018
Last updated
09/08/2022
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