Organization

Pena-samper Medical Associates, Inc

Hematology & Oncology Physician in Tampa, FL(View on Map)

Legal Business Name

Pena-samper Medical Associates, Inc

NPI Number

1114108172

NPI Type

Organization

Enumeration Date

11/19/2007

Specialties

(Taxonomies)

Code

207RH0003X
207R00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

ME51328
ME38971

Contact
Information

Purpose

Mailing
Location

Address

7820 N ARMENIA AVE
7820 N ARMENIA AVE

City

Tampa
Tampa

State

FL
FL

Postal Code

33604-3852
33604-3852

Country

US
US

Telephone Number

(813) 935-6334
(813) 935-6334

Authorized Official

Name

Mrs. Katherine Pena-perilla

Title or Position

OFFICE MANAGER

Telephone Number

(813) 935-6334

Identifiers

Identifier

ME51328
ME38971
064723300

Identifier State

FL
FL
FL

Identifier Issuer

FL LICENSE
FL LICENSE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2015

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