Individual
JILL MARIE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 WEBBER ST, SARASOTA, FL 34239-5288
(941) 362-8900
(941) 362-8987
Mailing address
2001 WEBBER ST, SARASOTA, FL 34239-5288
(941) 362-8900
(941) 362-8987
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME53383
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME53383
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372532400
—
FL
Enumeration date
08/24/2005
Last updated
02/04/2010
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