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Individual

MIGUEL ANGEL PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
3510 BISCAYNE BLVD STE 300, MIAMI, FL 33137-3840
(305) 576-1234
(305) 571-2020
Mailing address
3510 BISCAYNE BLVD STE 300, MIAMI, FL 33137-3840
(305) 576-1234
(305) 571-2020

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
592564198
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
692288100
FL
Enumeration date
05/19/2008
Last updated
05/19/2008
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