Individual provider · Type 1 NPI

Matthew Penna, MD, PhD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1619736196 Active

Practice location

1611 NW 12th Ave
Miami, FL 33136-1096

Call (305) 355-1122 Map

Mailing address

1295 NW 14th St
Miami, FL 33125-1610

Other practice locations

  • 22999 Highway 59 N, Kingwood, TX 77339-4412 · (281) 348-8000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619736196

Matthew Penna, MD, PhD's National Provider Identifier is 1619736196, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Apr 3, 2025.