Jorge L Pena CLINICAL PSYCHOLOGIS

NPI 1649454679 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1649454679
Gender Male
Enumeration Date 12/27/2007
Last Updated 12/27/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
1825 NW 167TH ST
SUITE #102
MIAMI GARDENS FL, 33056-4838, US
Phone (305) 624-7450
Fax (305) 623-7893
Business Location
9225 COLLINS AVENUE
APT. #1411
SURFSIDE FL, 33154, US
Phone (305) 442-8692
Fax
Toxanomy
Taxonomy Code 302F00000X
License State Florida
License Number PY3600
Remove 1649454679 NPI Number
 

According to our database, Dr. Jorge L Pena CLINICAL PSYCHOLOGIS NPI is 1649454679, taxonomy code is 302F00000X and license number is PY3600, license state is located at Florida. Jorge L Pena CLINICAL PSYCHOLOGIS physically located at 1825 Nw 167th St, Miami Gardens FL, 33056-4838. NPI Number Jorge L Pena CLINICAL PSYCHOLOGIS has the Individual type.

Sponsored links

1649454679 NPI number is provided on an as is basis without warranty of any kind. 1649454679 is maintained by the National Plan & Provider Enumeration System. The contents of Jorge L Pena CLINICAL PSYCHOLOGIS are for informational purposes only.