Individual
MRS. KATIA LOURDES PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18200 SW 100TH ST, MIAMI, FL 33196-1735
(305) 710-2364
Mailing address
18200 SW 100TH ST, MIAMI, FL 33196-1735
(305) 710-2364
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11009873
FL
Other
Enumeration date
05/15/2020
Last updated
06/02/2021
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