Gracie Latrice Jenkins

NPI #1023967973 in Kissimmee, Florida

Provider Information

NPI Number
1023967973
Entity Type
Individual
Name
Gracie Latrice Jenkins
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Enumeration Date
Jan 23, 2026
Last Updated
Jan 23, 2026

Practice Location

Address
3605 LIGHT PORT WAY
State
Florida
ZIP Code
34746-1842
Phone
(689) 239-9633

Specialties & Taxonomy Codes

Specialty
Family Medicine

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