Cultrera, Jennifer Lyn

Cultrera, Jennifer Lyn is an individual health care provider with primary practice located at 1400 N Us Highway 441 Suite 540, Lady Lake FL 32159-8975. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Cultrera, Jennifer Lyn can be contacted via phone (352) 753-9777.

Contact Information

Primary practice address
1400 N Us Highway 441 Suite 540 Lady Lake FL 32159-8975
Phone: (352) 753-9777
Fax: (352) 753-9781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME104856 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME104856 Florida

Profile Details

NPI number 1316041064
LBN Legal business name Cultrera, Jennifer Lyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated May 2nd, 2022 - about 2 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 1316041064 NPPES
Florida MEDICAID 000971000

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