Individual
DR. SANDRA MICHELLE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 LAKE MIRIAM DR STE 1, LAKELAND, FL 33813-2180
(866) 400-3376
(863) 709-0273
Mailing address
202 LAKE MIRIAM DR STE 1, LAKELAND, FL 33813-2180
(866) 400-3376
(863) 709-0273
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME162739
FL
Other
Enumeration date
06/08/2017
Last updated
08/24/2023
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