Pena, Eduardo

Pena, Eduardo is an individual health care provider with primary practice located at Uscgc Valiant - Commanding Officer Naval Station Mayport - 280101, Jacksonville FL 32228. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Pena, Eduardo can be contacted via phone (410) 507-6476.

Contact Information

Primary practice address
Uscgc Valiant - Commanding Officer Naval Station Mayport - 280101 Jacksonville FL 32228
Phone: (410) 507-6476
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1235913724
LBN Legal business name Pena, Eduardo
Credentials IDHS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2023
Last updated Aug 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers