EMMANUEL PENA D.O. – NPI #1063701274
Pediatrics

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

EMMANUEL PENA is a physician located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1063701274 to EMMANUEL PENA on March 29, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080C0008X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Child Abuse Pediatrics

The NPI profile was previously updated about 8 years ago on Jun 07, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMMANUEL PENA below.

NPI Profile for
EMMANUEL PENA

NPI Number
1063701274
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EMMANUEL PENA
Credentials
D.O.
Primary location
841 PRUDENTIAL DR
SUITE 1130
JACKSONVILLE, FL 32207
Phone: (904) 603-4199 Fax: (904) 633-4188
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080C0008X
- Pediatrics / Child Abuse Pediatrics (Primary)
GA 80622
208000000X
- Pediatrics
FL OS12734

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.