Individual provider · Type 1 NPI

Penelope Freseman, PA-C

Medical Physician Assistant · Port St. Lucie, FL

NPI number 1366426124 Active

Practice location

1701 SE Hillmoor Dr, Suite 5
Port St. Lucie, FL 34952-7552

Call (772) 335-0060 Map

Mailing address

2430 SW Falcon Cir
Port St. Lucie, FL 34953-2922

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9101742 (FL)

Medical Physician Assistant: Definition to come...

35 other providers at this address

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About NPI 1366426124

Penelope Freseman, PA-C's National Provider Identifier is 1366426124, issued on Dec 5, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 8, 2007.