Penaflor, Gina Lou

Penaflor, Gina Lou is an individual health care provider with primary practice located at 3496 Nw Federal Hwy , Jensen Beach FL 34957-4441. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Penaflor, Gina Lou can be contacted via phone (772) 223-5612.

Contact Information

Primary practice address
3496 Nw Federal Hwy Jensen Beach FL 34957-4441
Phone: (772) 223-5612
Fax: (772) 223-5689
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME79563 Florida

Profile Details

NPI number 1336105592
LBN Legal business name Penaflor, Gina Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 25th, 2013 - about 13 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 1336105592 NPPES
Florida MEDICAID 270599100

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