Pennic, Wooten& Associates Family Medical Care Pa

LBN: Pennic, Wooten& Associates Family Medical Care Pa
Pennic, Wooten& Associates Family Medical Care Pa is an health care organization with primary practice located at 1760 Edgewood Ave W B, Jacksonville FL 32208-7209. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Pennic, Wooten& Associates Family Medical Care Pa can be contacted via phone (904) 358-8480, or through Lucas, Sonya via phone (904) 358-8480.

Contact Information

Primary practice address
1760 Edgewood Ave W B Jacksonville FL 32208-7209
Phone: (904) 358-8480
Fax: (904) 358-8460
Website:
Map and Directions
Authorized official contact:
Name: Lucas, Sonya
Phone: (904) 358-8480

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Florida

Profile Details

NPI number 1194789958
LBN Legal business name Pennic, Wooten& Associates Family Medical Care Pa
DBA Doing business as
Authorized official Lucas, Sonya
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194789958 NPPES
Florida Other 34367 BLUECROSS BLUESHIELD #

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