Freseman, Penelope

Freseman, Penelope is an individual health care provider with primary practice located at 1701 Se Hillmoor Dr Suite 5, Port Saint Lucie FL 34952-7552. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Freseman, Penelope can be contacted via phone (772) 335-0060.

Contact Information

Primary practice address
1701 Se Hillmoor Dr Suite 5 Port Saint Lucie FL 34952-7552
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101742 Florida

Profile Details

NPI number 1366426124
LBN Legal business name Freseman, Penelope
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 8th, 2007 - about 17 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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