Organization
PENA-SAMPER MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MARCELA PENA-PERILLA (OFFICE MANAGER)
(813) 935-6334
Entity
Organization
Contact information
Practice address
7820 N ARMENIA AVE, TAMPA, FL 33604-3852
(813) 935-6334
(813) 935-5237
Mailing address
7820 N ARMENIA AVE, TAMPA, FL 33604-3852
(813) 935-6334
(813) 935-5237
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME38971
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME51328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064723300
—
FL
01
—
ME38971
FL LICENSE
FL
01
—
ME51328
FL LICENSE
FL
Enumeration date
11/19/2007
Last updated
07/21/2015
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