Pena, Monica Ann

Pena, Monica Ann is an individual health care provider with primary practice located at 134 S Woods Dr , Rockledge FL 32955-3262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Pena, Monica Ann can be contacted via phone (321) 636-3066.

Contact Information

Primary practice address
134 S Woods Dr Rockledge FL 32955-3262
Phone: (321) 636-3066
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 123026 Florida

Profile Details

NPI number 1134487929
LBN Legal business name Pena, Monica Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2012
Last updated Aug 4th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134487929 NPPES
Florida MEDICAID 014719800

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