Individual
MS. GLORIA ANN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6262 SE 121ST PL, BELLEVIEW, FL 34420-5215
(800) 385-1347
Mailing address
7970 SW 62ND CT, OCALA, FL 34476-5532
(954) 913-1111
(352) 415-2511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1473752
FL
363LF0000X
Family Nurse Practitioner
ARNP1473752
FL
Other
Enumeration date
07/11/2007
Last updated
09/23/2020
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