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Individual

DR. ARLENE LYDIA PENA-GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2800 W OAKLAND PARK BLVD, SUITE 208, OAKLAND PARK, FL 33311-1370
(954) 484-0051
(954) 485-4452
Mailing address
2800 W OAKLAND PARK BLVD, SUITE 208, OAKLAND PARK, FL 33311-1370
(954) 484-0051
(954) 485-4452

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME58742
FL
251S00000X
Community/Behavioral Health Agency
ME58742
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
317262100
FL
01
ME58742
PSYCHIATRIC LICENSE
FL
Enumeration date
07/10/2007
Last updated
05/06/2014
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