Pena, William R
Pena, William R is an individual health care provider with primary practice located at 6517 Taft St Ste 102 , Hollywood FL 33024-4063. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pena, William R can be contacted via phone (954) 399-9014.Contact Information
Primary practice address
6517 Taft St Ste 102
Hollywood FL 33024-4063
Phone: (954) 399-9014
Fax: (954) 367-7175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME84291 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME84291 | Florida |
Profile Details
| NPI number | 1568427078 |
|---|---|
| LBN Legal business name | Pena, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Mar 7th, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568427078 | NPPES |
| Florida | MEDICAID | 263658100 |
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