# MARILYN SIMEON PENA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578924353
- **Authorized official:** MARILYN SIMEON PENA ARNP (SELF)
- **Authorized official phone:** (813) 879-3530

## Contact information

- **Practice address:** 4506 N ARMENIA AVE, TAMPA, FL 33603-2732
- **Practice address phone:** (813) 879-3530
- **Practice address fax:** (813) 874-6608
- **Mailing address:** 4506 N ARMENIA AVE, TAMPA, FL 33603-2732
- **Mailing address phone:** (813) 879-3530
- **Mailing address fax:** (813) 874-6608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | ARNP 9288272 | FL | Yes |

## Other

- **Enumeration date:** 03/08/2016
- **Last updated:** 05/11/2016