MARILYN SIMEON PENA (NPI# 1578924353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578924353 |
| Entity Type | Organization |
| Organization Name | MARILYN SIMEON PENA |
| Practice Address |
4506 N Armenia Ave Tampa FL 33603-2732 |
| Practice Telephone | 8138793530 |
| Practice Fax Number | 8138746608 |
| Mailing Telephone | 8138793530 |
| Mailing Fax Number | 8138746608 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | MARILYN SIMEON PENA (SELF) |
| Authorized Official Telephone | 8138793530 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
ARNP 9288272 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4506 N ARMENIA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33603-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700806692 | Julio J Valdes | Clinic/Center | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2006-07-20 |
| 1790131589 | Marilyn Pena | Nurse Practitioner | 4506 N Armenia Ave, 2901 W. St. Isabel St. Ste # D, Tampa, FL 33603-2732 | 2016-05-11 |
| 1770835233 | Suellen M Black | Clinical Nurse Specialist | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2012-10-09 |
| 1598035669 | Julio J Valdes, M.d.,pa | Specialist | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2012-01-06 |
| 1902038359 | Carmen Morrone | Pediatrics | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2009-08-19 |
| 1265455174 | Rose Nieves | Registered Nurse | 4506 N Armenia Ave, Tampa, FL 33603-2732 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400959 | Jean V. Dieudonne | Pharmacist | 701 W. Dr Martin Luther King Blvd, Tampa, FL 33603 | 2020-06-03 |
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1700366010 | Marie A Brister Md LLC | Family Medicine | 508 W Dr Martin Luther King Jr Blvd Ste A, Tampa, FL 33603 | 2018-08-16 |
| 1619415197 | Riverside Recovery of Tampa, LLC | Substance Abuse Rehabilitation Facility | 4004 N. Riverside Dr., Tampa, FL 33603 | 2017-02-06 |
| 1306213194 | Jacqueline Dowgiallo | Case Manager/Care Coordinator | 4004 N Riverside Dr, Tampa, FL 33603 | 2015-08-27 |
| 1629487061 | Robin Ann Waters | Social Worker | 1016 W Hillsborough Ave, Tampa, FL 33603 | 2014-08-11 |
| 1831430453 | Cassandra Gonzalez | Social Worker | 1726 W Rio Vista Ave, Tampa, FL 33603 | 2013-03-06 |
| 1487908893 | Spine Injury Physicians LLC | Neurological Surgery | 607 W Martin Luther King Blvd, Suite 1, Tampa, FL 33603 | 2012-11-07 |
| 1861742124 | Joseph Timothy Candelore Jr. | Internal Medicine | 2333 W Hillsborough Ave Ste 160, Tampa, FL 33603 | 2012-09-14 |
| 1679835599 | Odessa Biandudi | Dentist | 825 West Martin Luther King Boulevard, Tampa, FL 33603 | 2012-06-15 |
| Find all providers in zip 33603 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467083352 | Brittany Ann Parmenter | Nurse Practitioner | 4446 E Fletcher Ave Ste A, Tampa, FL 33613-4942 | 2020-01-29 |
| 1316505217 | Kelsey Anne Overton | Nurse Practitioner | 4444 E Fletcher Ave Ste B, Tampa, FL 33613-4905 | 2019-06-05 |
| 1881196798 | Jennifer March Santana | Nurse Practitioner | 3603 W Royal Palm Cir, Tampa, FL 33629-8353 | 2018-03-06 |
| 1083060636 | Dalia Azuolaityte Galley | Nurse Practitioner | 3838 W Neptune St Ste D6, Tampa, FL 33629-5841 | 2016-05-12 |
| 1275916165 | Sean M Wilder | Nurse Practitioner | 1919 W Swann Ave Fl 2, Tampa, FL 33606-2417 | 2015-07-09 |
| 1710372107 | Patsy Giarda | Nurse Practitioner | 3405 W Fletcher Ave, Tampa, FL 33618-2813 | 2015-04-01 |
| 1902297963 | Aimee Januska | Nurse Practitioner | 3003 W. Mlk Blvd, Mab 3rd Fl., Tampa, FL 33607 | 2015-02-12 |
| 1801239256 | Lindsey Sawicki | Nurse Practitioner | 4714 N Armenia Ave Ste 201, Tampa, FL 33603-2603 | 2013-04-15 |
| 1164766002 | Jose R. Foradada, IIi, Md, P.a. | Nurse Practitioner | 4710 N. Habana Ave., Suite 307, Tampa, FL 33614-7151 | 2012-11-15 |
| 1588938989 | Elena Marie Walker | Nurse Practitioner | 6216 E Sligh Ave, Tampa, FL 33617-9105 | 2012-03-02 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.