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Contact Information

JACQUELINE B PEVNY MD PA
4201 N OCEAN BLVD APT C302
BOCA RATON, FL33431-5359
 Phone: 917-699-4391
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JACQUELINE B PEVNY MD PA · (Female)

NPI # 1003049743
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2009
Last updated 08/19/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME81382
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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