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NPI 1285808865ActiveOrganization· Preferred Provider Organization· Casselberry, FL

Preferred Provider Organization in Casselberry, Florida, registered in NPPES in April 2008. The authorized official on file is Alexandra Pena, President.

Overview

NPI1285808865
StatusActive
Entity typeOrganization
NPI issuedApr 15, 2008
Last updated in NPPESApr 15, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X—FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years