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NPI Code Detail

MEDICARE: JENNIFER FLORES PENA DDS

MEDICARE: JENNIFER FLORES PENA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN31523FL

General Provider Information

NPI Number : 1538006085
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER FLORES PENA DDS
Provider Business Mailing Address
First Line : 8321 BELLA VISTA TER
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-5504
Country : US
Telephone Number : 240-502-6846
Fax Number :
Provider Business Practice Location Address
First Line : 1339 N SUMTER BLVD
Second Line :
City : NORTH PORT
State : FL
Zip : 34286-8072
Country : US
Telephone Number : 941-941-7528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/01/2026

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Directions to “ JENNIFER FLORES PENA DDS” Practice Location

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