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1346247053
LANE E JENNINGS
DAYTONA BEACH, FL
NPI
1346247053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME0035449)
Enumeration Date
2005-07-07
Last Update Date
2013-06-24
Business Address
LANE E JENNINGS M.D.
201 N CLYDE MORRIS BLVD STE 200
DAYTONA BEACH, FL 32114-2765
Phone number: 386-254-4165
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Mailing Address
LANE E JENNINGS M.D.
PO BOX 864074
ORLANDO, FL 32886-4074
Phone number: 386-226-4590
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