Individual
CARLOS ANTONIO PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19273 NW 27TH AVE APT 3412, MIAMI GARDENS, FL 33056-2577
(404) 984-8465
Mailing address
1020 CHEROKEE TRL, WOODSTOCK, GA 30189-3606
(404) 984-8465
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH13049
FL
111N00000X
Chiropractor
CHIR010025
GA
Other
Enumeration date
03/12/2018
Last updated
07/26/2021
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