IndividualActive
Emmanuel Pena, D.O.
NPI 1063701274 · Child Abuse Pediatrics Physician · Jacksonville, FL
Provider details
- NPI number
- 1063701274
- Entity type
- Individual
- Primary specialty
- Child Abuse Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- OS12734 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
841 Prudential Dr
Suite 1130
Jacksonville, FL 32207
Phone: (904) 603-4199
Fax: (904) 633-4188
Approximate (ZIP-level) locationGet directions
Mailing address
841 Prudential Dr
Jacksonville, FL 32207-8329
Registry dates
- Enumerated
- 2011-03-29
- Last updated
- 2018-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.