Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Emmanuel Pena, DO

Individual provider Pediatrics Physician · NPI 1063701274

Dr. Emmanuel Pena, DO is a Pediatrics Physician in Jacksonville, Florida. Licensed in Florida, Georgia and Wyoming. Registered with an NPI since 2011.

Licensed in
FL, GA, WY
In the registry since
2011
Specialties on file
5
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

841 Prudential Dr Ste 1130
Jacksonville, FL 32207
Phone: (904) 603-4199
Fax: (904) 633-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child Abuse Pediatrics Physician (primary) Taxonomy 2080C0008X · Licence 80622 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence OS12734 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 11096A (WY)
Pediatrics Physician Taxonomy 208000000X · Licence 11096A (GA)
Child Abuse Pediatrics Physician Taxonomy 2080C0008X · Licence OS12734 (FL)

Record details

NPI number1063701274
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2011
Last updated in NPPESJune 7, 2018

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