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1104133594
MARTHA PENA
TAMPA, FL
NPI
1104133594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP3342042)
Enumeration Date
2010-09-07
Last Update Date
2021-09-03
Business Address
MARTHA PENA ARNP
14701 N FLORIDA AVE
TAMPA, FL 33613-1823
Phone number: 813-265-2066
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Mailing Address
MARTHA PENA ARNP
14701 N FLORIDA AVE
TAMPA, FL 33613-1823
Phone number: 813-265-2066
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