Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Outpatient Clinic at Penney Retirement Community, Inc

Organization Family Medicine Physician · NPI 1578919080

Outpatient Clinic at Penney Retirement Community, Inc is a Family Medicine Physician in Penney Farms, Florida. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2 N Pavilion Pl
Penney Farms, FL 32079
Phone: (904) 531-7022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1578919080
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPenney Retirement Community, Inc
Authorized official Teresa Scott — President · (904) 531-7022
NPI enumeratedMay 13, 2016
Last updated in NPPESMay 13, 2016
Mailing address2 North Pavilion Place, Penney Farms, FL 32079