Organization
E & M MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN J PENA MD (OWNER)
(863) 619-5999
Entity
Organization
Contact information
Practice address
4730 EXPLORATION AVE, LAKELAND, FL 33812-3319
(863) 619-5999
(863) 619-5995
Mailing address
PO BOX 550, HIGHLAND CITY, FL 33846-0550
(863) 619-5999
(863) 619-5995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME90788
FL
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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