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Individual

HERIBERTO PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
950 N KROME AVE, SUITE 202, HOMESTEAD, FL 33030-4400
(305) 245-5933
(305) 245-1020
Mailing address
950 N KROME AVE, SUITE 202, HOMESTEAD, FL 33030-4400
(305) 245-5933
(305) 245-1020

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME037404
FL

Other

Enumeration date
07/05/2006
Last updated
01/21/2008
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