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Organization

MARILYN SIMEON PENA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARILYN SIMEON PENA ARNP (SELF)
(813) 879-3530
Entity
Organization

Contact information

Practice address
4506 N ARMENIA AVE, TAMPA, FL 33603-2732
(813) 879-3530
(813) 874-6608
Mailing address
4506 N ARMENIA AVE, TAMPA, FL 33603-2732
(813) 879-3530
(813) 874-6608

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9288272
FL

Other

Enumeration date
03/08/2016
Last updated
05/11/2016
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