Provider Demographics
NPI:1356654750
Name:UZOR, JENNYFER PAOLA (MD)
Entity type:Individual
Prefix:DR
First Name:JENNYFER
Middle Name:PAOLA
Last Name:UZOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JENNYFER
Other - Middle Name:PAOLA
Other - Last Name:URENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4651 N STATE ROAD 7 STE 10
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4378
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4651 N STATE ROAD 7 STE 10
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4378
Practice Address - Country:US
Practice Address - Phone:954-866-5688
Practice Address - Fax:954-866-5682
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME152344208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics