Individual
MR. BENIGNO PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
7124 SW 114TH PL APT G, MIAMI, FL 33173-1885
(786) 291-1803
(305) 220-5015
Mailing address
7124 SW 114TH PL APT G, MIAMI, FL 33173-1885
(786) 291-1803
(305) 220-5015
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 62320
FL
Other
Enumeration date
05/18/2011
Last updated
05/25/2011
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