Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDRIA U PENNANT, MD
Active Sole ProprietorDR. ANDRIA U PENNANT, MD is a Gynecology healthcare provider located in PONTE VEDRA, Florida. NPI 1669585873 is currently active in the NPPES registry. Verify at CMS.
Gynecology · PONTE VEDRA, FL
Registration Details
- NPI Number
- 1669585873
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2006 (20.003570526933 yrs)
- Last Updated
- Aug 5, 2022
- Licenses
-
25MA08131300 (NJ)ME155928 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
340 TOWN PLAZA AVE STE 240PONTE VEDRA, FL, 320815169Browse FL providers · Browse ZIP 32081
- Phone
- 9043955850
- Fax
- 9043955851
- Primary Specialty
-
Gynecology
207VG0400X
- Additional Specialty
- Gynecology
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.