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Individual

BRIAN ELLIOTT MASSA-PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 W 68TH ST STE 202, HIALEAH, FL 33016-1898
(305) 364-2107
Mailing address
8015 NW 104TH AVE APT 3, DORAL, FL 33178-4483

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME175364
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2022
Last updated
10/15/2025
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