Individual
MARIA ELENA PENADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBLCE
Contact information
Practice address
9690 W SAMPLE RD, 204, CORAL SPRINGS, FL 33065-4046
(954) 274-2634
Mailing address
11505 NW 41ST ST, CORAL SPRINGS, FL 33065-7126
(954) 274-2634
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11274945
FL
Other
Enumeration date
12/01/2012
Last updated
12/01/2012
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