Penuel, James W

Penuel, James W is an individual health care provider with primary practice located at 7152 Coca Sabal Ln , Ft Myers FL 33908-4263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Penuel, James W can be contacted via phone (239) 939-9939.

Contact Information

Primary practice address
7152 Coca Sabal Ln Ft Myers FL 33908-4263
Phone: (239) 939-9939
Fax: (239) 931-5060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0040176 Florida

Profile Details

NPI number 1427040864
LBN Legal business name Penuel, James W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 31st, 2014 - about 11 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 1427040864 NPPES
Florida MEDICAID 068036200
Florida Other 36320

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