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Individual

JENNY CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3304 SW 34TH CIR, SUITE 101, OCALA, FL 34474-3358
(352) 401-7575
(352) 401-7577
Mailing address
4881 NW 8TH AVE STE 2, SUITE 100, GAINESVILLE, FL 32605-4582
(352) 401-7575
(352) 401-7577

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME120738
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HZ578Z
MEDICARE PTAN
FL
01
ME120738
MEDICAL LICENSE
FL
Enumeration date
07/06/2011
Last updated
08/04/2015
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