Penington, John
Penington, John is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Penington, John can be contacted via phone (386) 254-2285.Contact Information
Primary practice address
303 N Clyde Morris Blvd
Daytona Beach FL 32114-2709
Phone: (386) 254-2285
Fax: (386) 425-1304
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0030791 | Florida |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ME30791 | Florida |
Profile Details
NPI number | 1598839136 |
---|---|
LBN Legal business name | Penington, John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2006 |
Last updated | Feb 27th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598839136 | NPPES |
Florida | Other | ME30791 | STATE MEDICAL LICENSE |
Florida | MEDICAID | 066074400 | STATE MEDICAL LICENSE |
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