Individual
ALEXANDRA MARIE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2575 SW 67TH AVE, MIAMI, FL 33155-2968
(305) 266-2424
(305) 692-0728
Mailing address
5640 SW 116TH AVE, MIAMI, FL 33173-1057
(786) 925-6393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9116538
FL
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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