Nathan Jamal Pena, IDC is a military health care provider in Jacksonville, FL. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Nathan Jamal Pena, IDC NPI is 1134576390. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1320 BAILEY AVE
JACKSONVILLE, FL
ZIP 32228-028
Phone: (904) 270-6292
The enumeration date for this NPI number is 5/18/2016 and was last updated on 5/18/2016.