Search › Florida › 2080C0008X
Emmanuel Pena, D.O
NPI 1063701274 · on the registry since 2011
Practice
- Address
- 841 Prudential Dr
Suite 1130
Jacksonville, FL 32207 - Phone
- (904) 603-4199
- Fax
- (904) 633-4188
- Organisation at this address
- Wing Heart Llc
Gen224-Tpl, Llc
Msc Group, Inc.
Skyys The Limitz
Lab Grabbers, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 177
Registry record
- Primary taxonomy
- 2080C0008X
2080C0008X
- Also registered as
- 208000000X
208000000X
208000000X
2080C0008X - Licence states on file
- FL, WY, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida