Douglas Michael Pennington in Jacksonville - Family Medicine
Douglas Michael Pennington - NPI 1891714580
Douglas Michael Pennington is a Family Medicine in Jacksonville, Florida. Douglas Michael Pennington practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Douglas Michael Pennington is 1891714580. The last update date is 2022-08-24.
Douglas Michael Pennington's current location address is 1906 Southside Blvd, Jacksonville, Florida. You can contact this provider via phone number 9047243083 and fax number 9047279103. The mailing address for Douglas Michael Pennington is 1906 Southside Blvd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Michael Pennington |
|---|---|
| Address | 1906 Southside Blvd, Jacksonville, Florida |
| Phone Number | 9047243083 |
| Fax Number | 9047279103 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1891714580 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2022-08-24 |
Provider Mailing Address Detail
| Address | 1906 Southside Blvd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322161930 |
| Phone Number | 9047243083 |
| Fax Number | 9047279103 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS4561 |
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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 |
|---|---|---|---|
| 68835500 | FL | -- | |
| 80148958 | FL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Michael Pennington by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas Michael Pennington has been assigned the NPI (National Provider Identifier) 1891714580. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Douglas Michael Pennington is physically located?
The Douglas Michael Pennington is physically situated at the following address: 1906 Southside Blvd, Jacksonville, FL, 322161930.
What is the Douglas Michael Pennington's specialty and taxonomy code?
The Douglas Michael Pennington's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891714580 to Douglas Michael Pennington?
The Centers for Medicare & Medicaid Services originally issued the 1891714580 to Douglas Michael Pennington on 2006-07-19.
When was the information pertaining to Douglas Michael Pennington most recently updated or revised?
The details related to Douglas Michael Pennington, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-24.