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

Dr. Sandra Michelle Pena, MD

Individual provider Dermatology Physician · NPI 1427587740

Dr. Sandra Michelle Pena, MD is a Dermatology in Lakeland, Florida. Graduated from Cooper Medical College in 2017, 9 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Trained at
Cooper Medical College
Licensed in
FL
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

202 Lake Miriam Dr Ste 1
Lakeland, FL 33813-2180
Phone: (866) 400-3376
Fax: (863) 709-0273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME162739 (FL)

Record details

NPI number1427587740
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address202 Lake Miriam Dr Ste 1, Lakeland, FL 33813-2180

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolCOOPER MEDICAL COLLEGE
Graduated 2017 (9 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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