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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1568427078 NPPES
Florida MEDICAID 263658100

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