Dr Emmanuel Pena, DO - Pediatrics in Jacksonville, FL

Dr Emmanuel Pena, DO is a Pediatrics - Child Abuse Pediatrics physician based in Jacksonville, Florida. Dr Emmanuel Pena is licensed to practice in Georgia (license number 80622) and his current practice location is 841 Prudential Dr, Suite 1130, Jacksonville, Florida. He can be reached at his office (for appointments etc.) via phone at (904) 603-4199.

NPI number for Dr Emmanuel Pena is 1063701274 and his current mailing address is 841 Prudential Dr, Suite 1130, Jacksonville, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063701274.

Contact Information

Dr Emmanuel Pena, DO
841 Prudential Dr, Suite 1130,
Jacksonville, FL 32207
(904) 603-4199
(904) 633-4188

Map and Direction




Physician's Profile

Full NameDr Emmanuel Pena
GenderMale
SpecialityPediatrics - Child Abuse Pediatrics
Location841 Prudential Dr, Jacksonville, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063701274
  • Provider Enumeration Date: 03/29/2011
  • Last Update Date: 06/07/2018

Medical Identifiers

Medical identifiers for Dr Emmanuel Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063701274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics OS12734 (Florida)Secondary
208000000XPediatrics 11096A (Wyoming)Secondary
208000000XPediatrics 11096A (Georgia)Secondary
2080C0008XPediatrics - Child Abuse Pediatrics OS12734 (Florida)Secondary
2080C0008XPediatrics - Child Abuse Pediatrics 80622 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Emmanuel Pena is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Emmanuel Pena, DO
841 Prudential Dr, Suite 1130,
Jacksonville, FL 32207-8329

Ph: (904) 603-4199
Dr Emmanuel Pena, DO
841 Prudential Dr, Suite 1130,
Jacksonville, FL 32207

Ph: (904) 603-4199

Reviews and Comments


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