Individual
AMAYA DE LA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(218) 412-8003
(218) 438-7777
Mailing address
76 UNDERWOOD ST STE 200, ORLANDO, FL 32806-1110
(218) 412-8003
(218) 438-7777
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME167702
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122275600
—
FL
Enumeration date
03/24/2019
Last updated
06/14/2024
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