MAX R PENA (NPI# 1780751362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780751362 |
| Entity Type | Individual |
| Full Name | MAX R PENA |
| Credential | MD |
| Practice Address |
3000 Us Highway 19 Holiday FL 34691-2635 |
| Mailing Address |
4204 Carrollwood Village Ct Tampa FL 33618-8603 |
| Practice Telephone | 7279427070 |
| Practice Fax Number | 7279349457 |
| Mailing Telephone | 8132641358 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME50438 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 047656100 | 05 |
| Street Address |
3000 US HIGHWAY 19 |
| City | HOLIDAY |
| State | FL |
| Zip Code | 34691-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659328003 | Roberto Arevalo Araujo | Internal Medicine | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2006-05-30 |
| 1366600215 | Advanced Physician Specialists | Internal Medicine | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2008-05-28 |
| 1104019207 | Roberto Arevalo-araujo Mdpa | Radiology | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2007-08-22 |
| 1427155191 | Satish J Shah | Radiology | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2006-09-17 |
| 1033214325 | Nathan I Visweshwar | Internal Medicine | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2006-09-13 |
| 1245269331 | Roberto Arevalo-araujo Md Pa | Radiology | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417407826 | Janet Hernandez | Nurse Practitioner | 2435 Us Hwy 19, Suite 210, Holiday, FL 34691 | 2016-10-10 |
| 1285081869 | Jeannie Giberson | General Acute Care Hospital | 4313 Tahitian Gardens Drive K2, Holiday, FL 34691 | 2016-05-24 |
| 1790108058 | Home Medical Visits LLC | Internal Medicine | 2435 Us Highway 19 Ste 300, Holiday, FL 34691 | 2014-01-22 |
| 1770878712 | Rachel Rosa | Behavioral Analyst | 4249 Plaza Drive #304, Holiday, FL 34691 | 2011-06-17 |
| 1144414574 | Shervin Ardalani | Dentist | 4539 Sunray Drive, None, Holiday, FL 34691 | 2007-08-29 |
| 1245440874 | Gulf Coast Jewish Family Services | Psychiatric Residential Treatment Facility | 3142 Darlington Road, Holiday, FL 34691 | 2007-05-23 |
| 1659416626 | Michael M Shaw | Counselor | 2425 Chatlin Road, Holiday, FL 34691 | 2007-02-20 |
| 1316957947 | George William Lazenby | Ophthalmology | 1109 Us Hwy 19, Holiday, FL 34691 | 2006-08-08 |
| 1770531899 | Rajesh V Patel | Internal Medicine | 1162 Alternate 19 N, Holiday, FL 34691 | 2006-05-04 |
| 1871560904 | Vikram M Atit | Psychiatry & Neurology | 1011 Us Hwy 19, Holiday, FL 34691 | 2006-03-07 |
| Find all providers in zip 34691 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750372918 | Purendra P Sinha | Radiology | 3000 Us Hwy 19, Holiday, FL 34691 | 2005-11-04 |
| 1134303373 | Advanced Physician Specialists LLC | Radiology | 3000 Us Hwy 19, Holiday, FL 34691 | 2007-12-24 |
| 1427155191 | Satish J Shah | Radiology | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2006-09-17 |
| 1245269331 | Roberto Arevalo-araujo Md Pa | Radiology | 3000 Us Highway 19, Holiday, FL 34691-2635 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
| Find all providers with the same taxonomy | ||||
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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.