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Individual
CARLOS G. PENA
Active
Individual
CARLOS G. PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME96839
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME96839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
FL
01
—
BC BS OF FLORIDA
APPLICATION IN PROCESS
FL
Enumeration date
09/23/2006
Last updated
09/07/2023
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