Pena, Emmanuel

Pena, Emmanuel is an individual health care provider with primary practice located at 841 Prudential Dr Suite 1130, Jacksonville FL 32207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child Abuse Pediatrics. Allopathic & Osteopathic Physicians / Child Abuse Pediatrics is his primary health care specialty. Pena, Emmanuel can be contacted via phone (904) 603-4199.

Contact Information

Primary practice address
841 Prudential Dr Suite 1130 Jacksonville FL 32207
Phone: (904) 603-4199
Fax: (904) 633-4188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS12734 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11096A Wyoming
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 11096A Georgia
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X OS12734 Florida
Allopathic & Osteopathic Physicians / Child Abuse Pediatrics 2080C0008X 80622 Georgia

Profile Details

NPI number 1063701274
LBN Legal business name Pena, Emmanuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Jun 7th, 2018 - about 7 years ago

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.

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