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Individual

DR. OLGA PENA-ARIET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13595 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3256
(904) 221-4325
(904) 221-9167
Mailing address
13595 ATLANTIC BLVD, STE A, JACKSONVILLE, FL 32225-3256
(904) 727-5160
(904) 724-0057

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME45678
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04497
BCBS ID#
FL
05
373312200
FL
01
4200425
AETNA ID#
FL
Enumeration date
09/14/2006
Last updated
06/17/2020
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