Individual
DR. JULIO M. DE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FAAEM, FAWM
Contact information
Practice address
3663 S MIAMI AVE, MIAMI, FL 33133-4253
(305) 854-4400
Mailing address
PO BOX 100186, GAINESVILLE, FL 32610-0186
(352) 265-5911
(352) 265-5606
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AP111825
TX
207P00000X
Emergency Medicine Physician
Primary
ME102367
FL
207Q00000X
Family Medicine Physician
ME102367
FL
Other
Enumeration date
06/08/2007
Last updated
04/15/2024
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