Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB PENNINGTON, D.O.
ActiveDR. JACOB PENNINGTON, D.O. is a Sports Medicine (Orthopaedic) healthcare provider located in PORT CHARLOTTE, Florida. NPI 1174915235 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · PORT CHARLOTTE, FL
Registration Details
- NPI Number
- 1174915235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 26, 2015 (11.509831721882 yrs)
- Last Updated
- Mar 3, 2023
- License
-
OS17460 (FL)
Practice Information
- Address
-
1641 TAMIAMI TRLPORT CHARLOTTE, FL, 339481018Browse FL providers · Browse ZIP 33948
- Phone
- 9416296262
- Fax
- 9416291782
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
Other Sports Medicine (Orthopaedic) Providers in PORT CHARLOTTE, FL
| Name | Credential | NPI |
|---|---|---|
| NICHOLAS J CONNORS | M.D. | 1194723643 |
| DR. JASON ERIC REISS | D.O. | 1801845458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.