Pennic, Wooten& Associates Family Medical Care Pa in Jacksonville - Family Medicine
Pennic, Wooten& Associates Family Medical Care Pa - NPI 1194789958
Pennic, Wooten& Associates Family Medical Care Pa is a Family Medicine in Jacksonville, Florida. Pennic, Wooten& Associates Family Medical Care Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Pennic, Wooten& Associates Family Medical Care Pa is 1194789958. The last update date is 2022-07-21.
Pennic, Wooten& Associates Family Medical Care Pa's current location address is 1760 Edgewood Ave W, Jacksonville, Florida. You can contact this provider via phone number 9043588480 and fax number 9043588460. The mailing address for Pennic, Wooten& Associates Family Medical Care Pa is 1760 Edgewood Ave W, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pennic, Wooten& Associates Family Medical Care Pa |
|---|---|
| Address | 1760 Edgewood Ave W, Jacksonville, Florida |
| Phone Number | 9043588480 |
| Fax Number | 9043588460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Lucas Sonya |
| Telephone Number | 9043588480 |
NPI Number Detail
| NPI Number | 1194789958 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1760 Edgewood Ave W |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322087209 |
| Phone Number | 9043588480 |
| Fax Number | 9043588460 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34367 | FL | BLUECROSS BLUESHIELD # |
Post Comment/ Review Below
What is the Pennic, Wooten& Associates Family Medical Care Pa's unique identification number?
The Pennic, Wooten& Associates Family Medical Care Pa has been assigned the NPI (National Provider Identifier) Number 1194789958 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Pennic, Wooten& Associates Family Medical Care Pa?
The Pennic, Wooten& Associates Family Medical Care Pa is physically situated at 1760 Edgewood Ave W, in the city of Jacksonville, state of FL, with the postal code 322087209.
What is Pennic, Wooten& Associates Family Medical Care Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pennic, Wooten& Associates Family Medical Care Pa is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did the Pennic, Wooten& Associates Family Medical Care Pa receive its 1194789958?
The Pennic, Wooten& Associates Family Medical Care Pa was issued its 1194789958 on 2006-04-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Pennic, Wooten& Associates Family Medical Care Pa last refreshed?
The information related to the Pennic, Wooten& Associates Family Medical Care Pa, including its address, specialty, and other relevant details, was last updated on 2022-07-21.