DR. EMMANUEL PENA D.O.
NPI 1063701274
Pediatrics - Child Abuse Pediatrics in Jacksonville, FL

Q: What is Emmanuel Pena's NPI number?

The NPI number for Emmanuel Pena is 1063701274. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Q: What is Emmanuel Pena's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Q: When was this NPI record last updated?

The NPPES record for Emmanuel Pena was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2011

841 PRUDENTIAL DR, SUITE 1130, JACKSONVILLE, FL 32207(904) 603-4199(904) 633-4188 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Emmanuel Pena D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMMANUEL PENA D.O. (NPI 1063701274) is an individual child abuse pediatrics provider in Jacksonville, Florida, licensed in Georgia (80622) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1063701274

Entity TypeIndividualMale

Primary Taxonomy2080C0008X

Provider Legal NameDR. EMMANUEL PENACredential: D.O.

Location Address841 PRUDENTIAL DR, SUITE 1130Jacksonville, FL 32207

Mailing Address841 Prudential Dr, Suite 1130Jacksonville, FL 32207-8329 · (904) 603-4199 · Fax (904) 633-4188

Phone(904) 603-4199

Fax(904) 633-4188

Sole ProprietorNo

Enumeration DateMarch 29, 2011

Last NPPES UpdateJune 7, 2018

✔ NPI 1063701274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080C0008X

Licenses✔ Licensed in GA · 80622✔ Licensed in FL · OS12734

Definition

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.

Also ListedPediatricsTaxonomy 208000000X · License 11096A (GA), 11096A (WY), OS12734 (FL)

841 PRUDENTIAL DR, Jacksonville, FL 32207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUHAMMAD TANVEER UL HAQUE

Student in an Organized Health Care Education/Training Program

841 PRUDENTIAL DR, SUITE 1130
JACKSONVILLE, FL 32207

Duval County (904) 244-3140

DILLON OBERLIN SNYDER DO

Pediatrics

841 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Duval County (904) 633-4199

KATHERINE MARGARITIS MS, RD, LD/N

Dietitian, Registered

841 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Duval County (904) 633-0920

SHERRY R FAHMI SHENODA M.D.

Pediatrics

841 PRUDENTIAL DR, SUITE 1330
JACKSONVILLE, FL 32207

Duval County (904) 383-1712

DR. AMANDA CRUZ-DEWEESE DO

Emergency Medicine (Pediatric Emergency Medicine)

841 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Duval County (904) 396-5682

ARENA CHANEY NP

Nurse Practitioner

841 PRUDENTIAL DR, 10TH FLOOR
JACKSONVILLE, FL 32207

Duval County (904) 398-5404

DR. PAMELA L TRAPANE MD

Medical Genetics (Clinical Genetics (M.D.))

841 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Duval County (904) 633-0920

JORDAN SWAIN

Speech-Language Pathologist

841 PRUDENTIAL DR, SUITE 140
JACKSONVILLE, FL 32207

Duval County (904) 346-0394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Pena's NPI number?

The NPI number for Emmanuel Pena is 1063701274. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Emmanuel Pena located?

Emmanuel Pena practices at 841 Prudential Dr Suite 1130, Jacksonville, FL 32207. The listed phone number is (904) 603-4199.

What is Emmanuel Pena's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

What insurance does Emmanuel Pena accept?

Health plans from AvMed list Emmanuel Pena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmanuel Pena was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.