Individual
DR. JOHN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789-4603
(407) 975-0200
(407) 975-0209
Mailing address
1605 W FAIRBANKS AVE, WINTER PARK, FL 32789-4603
(407) 975-0200
(407) 975-0209
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME77991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256147600
—
FL
01
—
46560
BCBS
FL
01
—
P00003494
RAILROAD MEDICARE
—
Enumeration date
06/15/2006
Last updated
05/10/2017
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