Individual
ANTHONY MANUEL PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5470 W 6TH LN, HIALEAH, FL 33012-2548
(786) 238-2494
Mailing address
5470 W 6TH LN, HIALEAH, FL 33012-2548
(786) 238-2494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
REQUESTED
FL
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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