Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Emmanuel Pena, DO

Individual provider Pediatrics Physician · NPI 1063701274

Dr. Emmanuel Pena, DO is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida, Georgia and Wyoming. Registered with an NPI since 2011.

Licensed in
FL, GA, WY
In the registry since
2011
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

841 Prudential Dr Ste 1130
Jacksonville, FL 32207
Phone: (904) 603-4199
Fax: (904) 633-4188
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Abuse Pediatrics Physician (primary) Taxonomy 2080C0008X · Licence 80622 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence OS12734 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 11096A (WY)
Pediatrics Physician Taxonomy 208000000X · Licence 11096A (GA)
Child Abuse Pediatrics Physician Taxonomy 2080C0008X · Licence OS12734 (FL)

Record details

NPI number1063701274
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2011
Last updated in NPPESJune 7, 2018
Mailing address841 Prudential Dr, Suite 1130, Jacksonville, FL 32207-8329

Other providers in Jacksonville