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Dr. Willie Pena, MD,DC
Student in an Organized Health Care Education/Training Program in Plantation, Florida
NPI 1003098658

Willie Pena is a Student in an Organized Health Care Education/Training Program based in Plantation, FL. Willie Pena practices in Plantation, FL and has the professional credentials of MD,DC. The NPI Number for Willie Pena is 1003098658 and holds a License No. CH9373 (Florida).

The current practice location address for Willie Pena is 8201 W Broward Blvd, Plantation, FL and can be reached out via phone at 954-999-8254.

Location: 8201 W Broward Blvd, Plantation, FL, 33324-2701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003098658
Provider Name
Willie Pena
Credential
MD,DC
Provider Entity Type
Individual
Gender
Male
Address
8201 W Broward Blvd, Plantation, FL, 33324-2701
Phone Number
954-999-8254
Fax Number
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8201 W Broward Blvd
City
Plantation
State
Florida
Zip
33324-2701
Phone Number
954-999-8254
Fax Number
person
Provider Business Mailing Address Details
Address
8201 W Broward Blvd
City
Plantation
State
Florida
Zip
33324-2701
Phone Number
954-999-8254
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CH9373 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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