Jaime Penix MD PA
NPI #1508048893 in Mount Dora, Florida
Provider Information
- NPI Number
- 1508048893
- Entity Type
- Organization
- Organization Name
- Jaime Penix MD PA
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Nov 29, 2007
- Last Updated
- Apr 9, 2008
Practice Location
- Address
- 3801 N HIGHWAY 19A
- Address 2
- STE 400
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-2228
- Phone
- (352) 383-1245
Authorized Official
- Name
- JAIME PENIX, MD
- Title
- PRESIDENT
- Phone
- (352) 383-1245
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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