Organization
ANTONIO A PENA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO A PENA MD (OWNER)
(305) 596-5286
Entity
Organization
Contact information
Practice address
8600 SW 92ND ST, 101, MIAMI, FL 33156-7397
(305) 596-5286
(305) 596-5884
Mailing address
8600 SW 92ND ST, 101, MIAMI, FL 33156-7397
(305) 596-5286
(305) 596-5884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258196500
—
FL
Enumeration date
01/31/2007
Last updated
10/27/2008
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