Doctor profile · Federal record
Dr. Emmanuel Pena, D.O.
Child Abuse Pediatrics Physician · Pediatrics Physician · Pediatrics Physician · Pediatrics Physician · Child Abuse Pediatrics Physician · Jacksonville, FL
- NPI 1063701274
- 15 yrs on file
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
841 Prudential Dr, Suite 1130
Jacksonville, FL 32207
(904) 603-4199
fax (904) 633-4188
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- June 7, 2018
- Specialty taxonomy
- 2080C0008X — NUCC code
- State licenses (4)
- Georgia #80622 · Florida #OS12734 · Wyoming #11096A · Georgia #11096A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063701274. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$40
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $39.90 |
By nature of payment
Frequently asked questions
What is Dr. Emmanuel Pena's medical specialty?
Dr. Emmanuel Pena practices Child Abuse Pediatrics Physician in Jacksonville, FL.
Where does Dr. Emmanuel Pena practice?
Dr. Emmanuel Pena practices at 841 Prudential Dr, Jacksonville, FL 32207. Office phone: 9046034199.
What is Dr. Emmanuel Pena's NPI?
Dr. Emmanuel Pena's National Provider Identifier (NPI) is 1063701274, issued by NPPES.