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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