Individual
ANTONIO ALEXIS PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8600 SW 92ND ST, SUITE 101, MIAMI, FL 33156-7397
(305) 596-5286
(305) 596-5884
Mailing address
8600 SW 92ND ST, SUITE 101, MIAMI, FL 33156-7397
(305) 596-5286
(305) 596-5884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258196500
—
FL
Enumeration date
08/09/2005
Last updated
01/25/2010
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