| Marta Jacenyik LLC | |
|
3759 Bengal Rd Gulf Breeze FL 32563-3454 | |
| (850) 934-9866 | |
| Not Available |
| Full Name | Marta Jacenyik LLC |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3759 Bengal Rd, Gulf Breeze, Florida |
| Authorized Official Name and Position | Marta Jacenyik (PRESIDENT) |
| Authorized Official Contact | 8509349866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta Jacenyik LLC Po Box 1171 Gulf Breeze FL 32562-1171 | Marta Jacenyik LLC 3759 Bengal Rd Gulf Breeze FL 32563-3454 Ph: (850) 934-9866 |
| NPI Number | 1366589780 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 03/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366589780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME67496 (Florida) | Primary |
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