Penso, Christine
Penso, Christine is an individual health care provider with primary practice located at 1625 Seabreeze Blvd , Fort Lauderdale FL 33316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Penso, Christine can be contacted via phone (508) 561-7595.Contact Information
Primary practice address
1625 Seabreeze Blvd
Fort Lauderdale FL 33316
Phone: (508) 561-7595
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | ME39077 | Florida |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | ME39077 | Florida |
Profile Details
NPI number | 1104811165 |
---|---|
LBN Legal business name | Penso, Christine |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2005 |
Last updated | Jul 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104811165 | NPPES |
Florida | MEDICAID | 013244200 | |
Florida | MEDICAID | 3003388 |
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