Willie Pena in Plantation - Student In An Organized Health Care Education/training Program

Willie Pena - NPI 1003098658

Willie Pena is a Student In An Organized Health Care Education/training Program in Plantation, Florida. Willie Pena practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Willie Pena is 1003098658. The last update date is 2022-03-29.

Willie Pena's current location address is 8201 W Broward Blvd, Plantation, Florida. You can contact this provider via phone number 9549998254. The mailing address for Willie Pena is 8201 W Broward Blvd, Plantation, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Willie Pena
Address 8201 W Broward Blvd, Plantation, Florida
Phone Number 9549998254
Fax Number
Sole Proprietor Y
Credentials MD, DC

NPI Number Detail

NPI Number 1003098658
Provider Enumeration Date 2007-12-05
Last Updated Date 2022-03-29

Provider Mailing Address Detail

Address 8201 W Broward Blvd
City Plantation
State Florida (FL)
Post Code 333242701
Phone Number 9549998254
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Willie Pena

What is the Willie Pena's 1003098658?

The Willie Pena's NPI (National Provider Identifier) Number is 1003098658. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Willie Pena?

The Willie Pena is situated at 8201 W Broward Blvd, in the city of Plantation, state of FL, with the zip code 333242701.

What is Willie Pena's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Willie Pena is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy classification code for this specialized field is 390200000X.

On what date did the Willie Pena receive the assignment of its 1003098658 from the Centers for Medicare & Medicaid Services?

The Willie Pena was issued its 1003098658 by the Centers for Medicare & Medicaid Services on 2007-12-05.

When was the information related to Willie Pena most recently updated or refreshed?

The details pertaining to the Willie Pena, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-03-29.

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