Individual
JEANNETTE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5781 SW 137TH AVE, MIAMI, FL 33183-1103
(786) 501-0206
Mailing address
10144 SW 141ST CT, MIAMI, FL 33186-6807
(786) 501-0206
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11028731
FL
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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