Organization
PENNEY RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WHITNEY JEWETT MD (PHYSICIAN VOLUNTEER)
(904) 284-4078
Entity
Organization
Contact information
Practice address
2 PAVILION PLACE, PENNEY FARMS, FL 32079
(904) 284-8579
Mailing address
3495 HOFFMAN AVENUE, PENNEY FARMS, FL 32079
(904) 284-8579
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
LL598
FL
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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