Individual
ALEXANDER PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5731 BEE RIDGE RD, SARASOTA, FL 34233-5056
(904) 517-9317
Mailing address
20 GREENHAVEN CIR, OLDSMAR, FL 34677-4805
(904) 517-9317
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9115886
FL
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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