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Organization
RICHARD J PENA- ARIET MD PA
Active
Organization
RICHARD J PENA- ARIET MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J PENA ARIET MD (PRESIDENT)
(772) 879-1112
Entity
Organization
Contact information
Practice address
1420 SW SAINT LUCIE WEST BLVD STE 107, PORT SAINT LUCIE, FL 34986-1709
(772) 879-1112
(772) 879-1167
Mailing address
1420 SW SAINT LUCIE WEST BLVD STE 107, PORT SAINT LUCIE, FL 34986-1709
(772) 879-1112
(772) 879-1167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265063100
—
FL
01
—
7184385
AETNA
FL
Enumeration date
06/29/2006
Last updated
12/13/2019
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