Individual
DR. PENNY S MULBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 202-3846
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME131144
FL
208M00000X
Hospitalist Physician
Primary
ME131144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020230500
—
FL
05
—
387539
—
SC
Enumeration date
06/14/2007
Last updated
12/20/2024
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