MEDICARE: ABDIAS PENA

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
1	225200000X	Physical Therapy Assistant	PTA34011	FL

General Provider Information

NPI Number	:	1811826597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDIAS PENA

Provider Business Mailing Address
First Line	:	1305 PINES LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-4772
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 PINES LN
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-4772
Country	:	US
Telephone Number	:	561-987-2747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ ABDIAS PENA ” Practice Location

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