Individual
DR. RODOLFO PENA-ARIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13595 ATLANTIC BLVD STE A, JACKSONVILLE, FL 32225-3256
(904) 221-4325
(904) 221-9167
Mailing address
13595 ATLANTIC BLVD STE A, JACKSONVILLE, FL 32225-3256
(904) 221-4325
(904) 221-9167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME58288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064381500
—
FL
01
—
11327
BCBS ID #
FL
01
—
4131917
AETNA ID #
FL
Enumeration date
09/14/2006
Last updated
06/17/2020
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