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Dr. Willie A Pennick, MD
Family Medicine Physician in Jacksonville, Florida
NPI 1568426302

Willie A Pennick is a Family Medicine Physician based in Jacksonville, FL. Willie A Pennick practices in Jacksonville, FL and has the professional credentials of MD. The NPI Number for Willie A Pennick is 1568426302 and holds a License No. ME53419 (Florida).

The current practice location address for Willie A Pennick is 1760 Edgewood Ave W, Jacksonville, FL and can be reached out via phone at 904-358-8480 and via fax at 904-358-8460.

Location: 1760 Edgewood Ave W, Jacksonville, FL, 32208-7209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568426302
Provider Name
Willie A Pennick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1760 Edgewood Ave W, Jacksonville, FL, 32208-7209
Phone Number
904-358-8480
Fax Number
904-358-8460
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
062977400 05 FL
institution
Provider Business Practice Location Address Details
Address
1760 Edgewood Ave W
City
Jacksonville
State
Florida
Zip
32208-7209
Phone Number
904-358-8480
Fax Number
904-358-8460
person
Provider Business Mailing Address Details
Address
1760 Edgewood Ave W
City
Jacksonville
State
Florida
Zip
32208-7209
Phone Number
904-358-8480
Fax Number
904-358-8460
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME53419 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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