Dr. Jorge L Pena, CLINICALPSYCHOLOGIS
Dr. Jorge L Pena, CLINICALPSYCHOLOGIS is an Exclusive Provider Organization in Miami Gardens, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
1825 NW 167th St Ste #102Miami Gardens, FL 33056-4838
Phone: (305) 624-7450
Fax: (305) 623-7893
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Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence PY3600 (FL) |
|---|
Record details
| NPI number | 1649454679 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CLINICALPSYCHOLOGIS |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2007 |
| Last updated in NPPES | December 27, 2007 |
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