Individual
NAYROBI MAITELIC PENA COTUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-7606
(352) 273-9804
(352) 392-6481
Mailing address
PO BOX 100289, GAINESVILLE, FL 32610-0277
(352) 273-9804
(352) 392-6481
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME156594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114603000
—
FL
Enumeration date
07/24/2017
Last updated
07/26/2023
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