| Doctor Name: | CHRISTINE PENSO |
| NPI Number: | 1104811165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME39077 |
| Business Practice Address: | 11645 Biscayne Blvd Suite 308 North Miami, FL - 331813155 |
| Business Phone Number: | 3055388835 |
| Business Fax Number: | 3059384044 |
| Mailing Address: | 11645 Biscayne Blvd, Suite 207 NORTH MIAMI |
| State: | FL |
| Postal Code: | 331813155 |
| Phone Number: | 3055388835 |
| Fax Number: | 3059384044 |
| NPI Enumeration Date: | 09/15/2005 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | ME39077 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |