Penner, Jeffrey Stuart

Penner, Jeffrey Stuart is an individual health care provider with primary practice located at 130 John F Kennedy Dr Ste 201 , Atlantis FL 33462-1142. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Penner, Jeffrey Stuart can be contacted via phone (561) 967-4400.

Contact Information

Primary practice address
130 John F Kennedy Dr Ste 201 Atlantis FL 33462-1142
Phone: (561) 967-4400
Fax: (561) 967-5277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME0030380 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME30380 Florida

Profile Details

NPI number 1790883601
LBN Legal business name Penner, Jeffrey Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790883601 NPPES
Florida MEDICAID 037798800
Florida Other 206593
Florida Other 50805

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