Individual
DR. CHESTER HOWARD PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
542067 US HIGHWAY 1, CALLAHAN, FL 32011-8110
(904) 879-2552
(904) 879-6360
Mailing address
PO BOX 1578, CALLAHAN, FL 32011-1578
(904) 879-2552
(904) 879-6360
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3421
FL
Other
Enumeration date
02/08/2010
Last updated
04/04/2011
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