Individual
MARIA ALEJANDRA DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4800 NE 20TH TERRACE, SUITE 404, BUILDING C, FORT LAUDERDALE, FL 33308
(305) 974-5533
(305) 974-5553
Mailing address
PO BOX 223190, HOLLYWOOD, FL 33022-3190
(305) 974-5533
(305) 974-5553
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME114029
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2008
Last updated
06/04/2024
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