Peter C. Jansen MD

NPI #1346494556 in Macclenny, Florida

Provider Information

NPI Number: 1346494556
Entity Type: Organization
Organization Name: Peter C. Jansen MD
Primary Specialty: Family Medicine
Enumeration Date: Nov 14, 2008
Last Updated: Nov 14, 2008

Practice Location

Address: 159 N 3RD ST
City: Macclenny
State: Florida
ZIP Code: 32063-2103
Phone: (904) 259-7815

Authorized Official

Name: DR. PETER C JANSEN, M.D.
Title: PHYSICIAN
Phone: (904) 259-7815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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