Individual
JACLYN HAVINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-8721
(248) 410-2360
Mailing address
4514 SEHOY CIR, PENSACOLA, FL 32504-9054
(248) 410-2360
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
149175
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME149175
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2015
Last updated
04/10/2025
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