Jaime Penix MD PA

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME96543 Issued in FL

Legal business name

JAIME PENIX MD PA

Practice address

3801 N Highway 19a
Ste 400
Mount Dora, FL 32757-2228

Phone

(352) 383-1245

NPI assigned

Nov 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jaime Penix, MD

Title

President

Phone

(352) 383-1245

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1508048893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N HIGHWAY 19A",
            "address_2": "STE 400",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572228",
            "telephone_number": "352-383-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N HIGHWAY 19A",
            "address_2": "STE 400",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572228",
            "telephone_number": "352-383-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME PENIX MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "PENIX",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-383-1245",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME96543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&T Divine Care
• J&T Divine Care
• Jack L Cassell M.D. P.a.
• Kimberly T Jackson, DO
• Jaime H Mejia MD PA
• Janet L Black D P M P a
• Ashley Michelle Jass, CD(DONA)
• Marlyne Jean-Pierre, M.S.
• Fritzlyn Laura Jean
• Hailey Kay Jeckovich I, RBT

• Nephrology Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.