SearchFlorida246ZC0007X

Jennings Mooneyhan, SA-C

NPI 1790107928 · on the registry since 2014 · sole proprietor

Practice

Address
1310 1st St S
Jacksonville Beach, FL 32250
Phone
(904) 222-5491
Fax
(904) 627-1609

Registry record

Primary taxonomy
246ZC0007X
246ZC0007X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida