Individual
ADRIANA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
11290 SW 12TH ST, MIAMI, FL 33199-0001
(305) 348-2575
Mailing address
13756 SW 143RD ST UNIT D, MIAMI, FL 33186-7570
(787) 647-5178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5627
FL
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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