Organization
DEPENA HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCIO DEPENA MD (PRESIDENT)
(786) 762-2415
Entity
Organization
Contact information
Practice address
7171 SW 24TH ST STE 316, MIAMI, FL 33155-1692
(786) 762-2415
(786) 762-2418
Mailing address
7171 SW 24TH ST STE 316, MIAMI, FL 33155-1692
(786) 762-2415
(786) 762-2418
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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