Individual
ALEXANDRA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7333 INTERNATIONAL PL, LAKEWOOD RANCH, FL 34240-8418
(941) 907-3443
Mailing address
6230 MEDICI CT APT 102, SARASOTA, FL 34243-2630
(941) 549-5062
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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