JAIME PENIX MD PA NPI 1508048893

NPI Information

  • NPI: 1508048893
  • Provider Name: JAIME PENIX MD PA
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 3801 N HIGHWAY 19A
    STE 400
    MOUNT DORA, FL
    ZIP 32757
  • Phone: (352) 383-1245

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NPI Details

JAIME PENIX MD PA is a nephrology internal medicine in Mount Dora, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. JAIME PENIX MD PA NPI is 1508048893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 N HIGHWAY 19A
STE 400
MOUNT DORA, FL
ZIP 32757-228
Phone: (352) 383-1245

The provider's authorized official is Jaime Penix .
The authorized official title is President and has the following contact phone number (352) 383-1245.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 4/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyME96543FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I61949MEDICARE UPINFLORIDA
2AH821MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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